ADMISSIONS APPLICATION: 1st - 12th GRADES

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ADMISSIONS APPLICATION: 1st - 12th GRADES Welcome to the admissions process of Providence Classical Academy (PCA). The applicant, parents, teachers, and/or administrators should complete and return the required forms, along with a $100 check for the application fee. In addition to these forms, a personal interview and testing will be scheduled. The goal of the Admissions Committee is to bring together a cohesive student body, which will encourage the spiritual and intellectual development of the individual student. Each applicant's academic potential, scholastic motivation, character, and extra-curricular interests will be considered. APPLICANT FOR OFFICE USE ONLY Year Grade Date received Application fee Check# Last First Middle Preferred Name Applying for Grade In the school year Gender Male Female Current Grade Birthdate Age (as of 09/30/2018) /!!!!!!!! yrs / mo Home Address Street City State Zip Home Phone Ethnic Origin: American Indian Asian Black Pacific Islander White Hispanic FATHER (Title) Last First Middle Preferred Name Email Bus. Phone Cell Place of Employment Title Business Address Street City State Zip MOTHER (Title) Last First Middle Preferred Name Email Bus. Phone Cell Place of Employment Title Business Address Street City State Zip SIBLINGS Providence Classical Academy 4525 Old Brownlee Rd Bossier City, LA 71111 318-820-9465 fax: 318-742-3379 www.pcabossier.org

FAMILY INFORMATION Student is living with: (check all that apply) Father Mother Stepfather Stepmother Legal Guardian Other (please specify) Parents are married Father is deceased Mother is deceased Parents are divorced* Parents are separated* *If parents are separated or divorced, name of Step Parent: CHURCH INFORMATION Family s Church Pastor Applicant Parent(s) Member Belongs to Youth Group Member Belongs to Church Fellowship Attends church regularly Does not attend Attends church regularly Volunteers regularly Attends occasionally Attends occasionally Does not attend SCHOOL INFORMATION School applicant is currently attending Name School District Address City State Zip Phone Previous School Name of School City Grade(s) Attended Any behavioral, educational or psychological evaluations been performed on your child? Yes No If yes, when, by whom, and for what reason? Please attach a copy of all relevant reports. Is your child currently on medication? Yes No If yes, please explain Has the applicant ever repeated a grade or been dismissed from school? Yes No Comments Is the student eligible to return to all previously attended schools? Yes No Applicant's interests and extra-curricular activities WE FIRST LEARNED OF PCA THROUGH Sibling currently enrolled Alumni Parents of PCA student Church/Pastor Newspaper or Magazine Realtor Internet Other THE FACTORS MOST INFLUENCING US TO APPLY TO PCA Christian Philosophy Academic reputation Location Classical teaching Dissatisfaction with current school Strength of extracurricular programs Recommendations of PCA families Desire to attend private school Other

STUDENT-RELATED QUESTIONS FOR 1st THROUGH 12th GRADES What virtues would you most like to see developed in your student? How would you characterize your child s academic ability and level of interest? Please list any medical conditions such as asthma, food allergies, physical requirements, etc. that the school should know about: Will this condition need to be treated by staff during school hours? Yes No Are there any known medical, psychological, mental, emotional, or learning difficulties that could have an impact on the applicant s ability to flourish in a rigorous academic environment? If none, please initial here Otherwise, please explain: Providence is not structured to handle students with severe learning disabilities or those who have significant behavioral problems. For your child s best interest, please be candid when answering the following questions. For any that you circle Yes, please explain in the space provided below. Has the student ever been tested for or placed in a special learning program? Yes No Has the student required any other special help or tutoring? Yes No Has the student ever been examined or treated by a counselor, doctor, or psychiatrist for hyperactivity or attention deficit disorder (ADD or ADHD)? Yes No Do you suspect or have you been told that your child might have dyslexia? Yes No Has the student ever been involved in legal problems or been arrested? Yes No Signature of Father or Guardian: Date: Signature of Mother or Guardian: Date:

STATEMENT OF MUTUAL UNDERSTANDING Providence Classical Academy is a Christian school making use of traditional models of education to shape students who are capable of living intelligently and purposefully in the service of God and man. This dual commitment to Christian faith and the classical tradition requires that we assume certain things to be absolutely true. Below are two sets of statements that guide the education that your child will receive at Providence Classical Academy. The first is our Doctrinal Statement. It is a statement of Christian faith to which each teacher is required to subscribe without reservation. We teach this statement in our classrooms as absolutely true. The second consists of five Strategic Objectives which shape the experience of every student at Providence Classical Academy. Signing at the bottom of these statements indicates your acknowledgment that your child's experience at Providence Classical Academy will be guided by these theological and educational principles. PROVIDENCE CLASSICAL ACADEMY S STATEMENT OF FAITH The following is the foundation of beliefs on which Providence Classical Academy is based. They are also the essential elements of Christianity that will be unapologetically taught in various ways through all grade levels. The substance of these statements (is that which) will be considered primary doctrine in Providence Classical Academy. Secondary or divisive doctrines or issues will not be presented as primary doctrine. Providence Classical Academy is historically grounded in orthodox Christianity. The PCA board and teachers hold to the following Statement of Faith as the core foundation for which all truth must be laid. We believe: 1. God is sovereign. God sovereignly controls all things and works them all for His glory. His plans and purposes always prevail; nothing can thwart them. 2. The Bible is the inerrant Word of God. God's written Word, the Bible, is free from error in the original text and completely trustworthy. We submit to its authority, acknowledging it to be inspired by God and carries the full weight of His authority. 3. Three Persons (the Father, the Son, and the Spirit) have eternally lived as one God. These three are one God, the same in substance, equal in power and glory. These three have communed from eternity past to present in love with One another. Each member of the Godhead has different roles but work together in all their works, namely Creation and Redemption. 4. God created all that is. God was pleased to create the universe from nothing. God spoke, and everything was created, including humans. Man and woman were created in the image of God with the purpose of glorifying Him and enjoying Him forever. All that God created was good. 5. God graciously deals with His people by way of covenant relationship. God is the same God of both the New and the Old Testaments and has always dealt graciously with His people through means of a covenant, which is a relationship that God establishes with His people and guarantees by His word. Because God chooses to keep the terms in His covenant with mankind even when mankind breaks the terms, the believer's confidence and hope is in God's covenantal faithfulness rather than human performance. Through the historical stages of creation, fall, redemption and glorification, God is gracious and faithful to His people. 6. Mankind is fallen through sin against God. While made in God's image, the first man and woman, desiring to be god, distrusted and disobeyed God and were therefore put at enmity with God. Because of sin, we live in a world that is broken by the curse and all humans are broken, being from birth both guilty and twisted. While we are not as given over as we could be, every part of our faculties (heart, mind, and emotions) are bent toward sin. All mankind, as Adam's heirs, participated in his fall and are by nature and by choice sinners without any power to save themselves and restore themselves to a right relationship with God. 7. Jesus came to save sinners. Jesus Christ is the unique Son of God and the only Savior of the world. Fully God and fully man, He was born of a virgin and lived a sinless life. At God's initiative, Christ alone secured salvation for believers by dying the death that we deserve to die (substitutionary atonement) on the cross and by living the life God calls us to live. Jesus rose bodily from the dead, ascended to the right hand of the Father and will come again in power and glory. 8. Believers are made right with God by faith alone in Christ alone. Believers neither deserve salvation from the penalty of sinthe just wrath of God- nor can they earn it. Justification (being made right with God) is granted solely by God's grace through faith in Jesus Christ as Lord and Savior. When we rest on Him for our acceptance with God, God forgives our sin and credits us with His righteous life. 9. Believers are sanctified by the work of the Holy Spirit. Every true believer in Jesus Christ is indwelt and empowered by the Holy Spirit, who enables believers to live a godly life and to perform good works. While in justification God declares us to be holy in light of Christ, sanctification is the work of God's grace in which He increasingly conforms us to Christ's likeness causing we who trust Christ to progressively grow in personal holiness. While faith alone saves us, saving faith is always accompanied with godliness and good deeds. 10. The Church is God's Family where believers are intended to grow and serve. The triune God has established a visible church which is called to live in the power of the Holy Spirit under the authoritative regulation of Holy Scripture, exercising discipline and administering the sacraments, and preaching the gospel of Christ. All believers are spiritually united to the Lord Jesus Christ, and as such are united to His body, the Church. Every believer is called to be baptized and in doing so to part of His bride, the Church. We are to actively share our lives with believers of our local church. 11. All men will face a final judgment and resurrection. At the second coming of Christ, the saved and the lost will be bodily resurrected and judged. The saved will be resurrected to eternal life, and the lost will be resurrected to eternal condemnation.

This statement of faith contains the essential biblical doctrines that guide the ministry of the school. These primary doctrines define the perspective from which all classes are taught and are one of the tools that is used in the hiring of faculty and administration. Surely issues will arise upon occasion within the curriculum that are not defined by this statement of faith. Providence recognizes that Christians are at liberty to reach different conclusions on many of these issues. The school's recognition that Christians disagree on these topics, however, should not be interpreted to mean that the school believes that there are no right answers to questions regarding these issues. Issues not settled by this statement of faith will ultimately be resolved by reference to historic, orthodox Christianity. PROVIDENCE CLASSICAL ACADEMY S STRATEGIC OBJECTIVES Provide a unique learning experience employing the best practices of classical and Christian educational traditions. a.encourage each student to develop a relationship with God through Christ, recognizing that God has equipped each of His children with gifts that should be used to His glory. b.teach a Christian worldview in which all subjects are part of an integrated whole with the Scriptures at the center. c.employ a trivium -based academic program that provides students with the intellectual tools necessary to grapple with the great intellectual challenges of our time. d.focus on equipping students to shape culture according to the priorities of the kingdom of God. e.actively include parents in the responsibility to educate their children. I understand and acknowledge that my child's experience at Providence Classical Academy will be guided by these theological principles and strategic objectives. For every student, Providence requires a 1-year probationary period, in which it is understood that we may ask a student not to return if it is not a fit academically or behaviorally. We will be evaluating this application on the basis of the information that we receive from this application and the associated application information. If, however, we find that any of the information provided to be misleading or that required information (like 504 Plan or IEP) has been omitted, it will be grounded for immediate dismissal. Signature of Father or Guardian: Date: Date: Signature of Mother or Guardian: Date: Date: NOTICE OF NON-DISCRIMINATORY POLICY Providence Classical Academy does not discriminate on the basis of race, color, national or ethnic origin in the administration of its educational, admission, tuition assistance, or employment policies, or any other programs administered by the school.