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Thank you for your interest in Providence! The selection and composition of the school s student body is second only to staff and faculty selection in the impact it has upon our school s mission. Providence seeks to foster an atmosphere of shared values centered in biblical truth, and our desire is that each family become an integral part of the vibrant Christian school community. Please complete the application and mail, fax, email, or drop it by the school. All applications for new families will be considered on a first-come, first-served basis. We strongly encourage prospective parents to attend an Open House and visit classrooms. The process for new applicants is as follows: A. Apply q Complete application packet $100 Application Fee (each new student, non-refundable) New Family Application (one per family) New Student Profile (one for each student applying) Recent copy of family photograph Teacher Questionnaires Applying to kindergarten: Pre-kindergarten or current kindergarten teacher Applying to grades 1-6: grade level teacher Applying to grades 7-12: English and Math teacher Student Questionnaire (grades 7-12 only) A copy of the last Standardized Achievement Test results (if applicable) A copy of the last two years report cards or last two grade reports (if applicable) * If home schooled, a list of all courses and books from the last year of child s education B. School Visit Prior to the family interviews and student assessment test, we strongly encourage families to visit the school and classrooms. Students are encouraged and invited to visit and spend a day in the classroom. Visits can be scheduled with Lisa Sandeno, Admissions Director, at 425-774-6622. C. Family Interview and Student Assessment Test The application, application fee, and other materials above MUST be submitted prior to the family interview. Schedule a day for the family interview (student and both parents) and student grade-level assessment test. D. Notification The admissions committee will meet and notify parents generally within two weeks of the family interview. If a student is accepted for admission to Providence, parents will be given an enrollment packet to submit with the enrollment fee within 10 days in order to reserve a place for their child. 2017-2018 Important Dates ADMISSIONS PROCEDURES November 7 January 9 January 9 January 11 January 18 January 19 February 1 February 9 Open House Tuition and fees for 2018-2019 are available Re-enrollment begins for current families Student interviews begin Open House Re-enrollment deadline Notifications about new family acceptance begins Financial Aid applications due 18943 120th Ave NE, Bothell, WA 98011 ½ Phone: 425-774-6622 ½ Fax: 425-483-3702 ½ admissions@pccs.org

NEW FAMILY APPLICATIOIN Complete this only once, regardless of how many students you have applying. Thank you for printing. Father (First, Middle Initial, Last) Mother (First, Middle Initial, Last) Address Address (if different from father) City State Zip City State Zip Home Phone Father s Cell Phone Home Phone (if different from father) Mother s Cell Phone Home Email Home Email (if different from father) Employer/Occupation Employer/Occupation Work Address Work Address City State Zip City State Zip Work Email Work Phone Work Email Work Phone Church Currently Attending How often do you attend? Church Currently Attending (if different) How often do you attend? Pastor s Name Ph. # Pastor s Name (if different from father s pastor) Ph. # May We Contact Your Pastor? May We Contact Your Pastor? 1. How did you hear about Providence Classical Christian School? Please check all that apply: Providence parent Word-of-mouth (non-providence parent) ACCS website Web search/internet Advertisement/mailer Other: 2. Do you know any families who attend Providence? If so, please list their names here: 3. Have you attended an Open House? Yes No If Yes, how did your attendance at the Open House affect your decision to apply to the school? 4. Have you visited classrooms at Providence? Yes No If Yes, how did your classroom visits affect your decision to apply to the school? 5. What other schools are you applying to for your child? 18943 120th Ave NE, Bothell, WA 98011 ½ Phone: 425-774-6622 ½ Fax: 425-483-3702 ½ admissions@pccs.org

6. Please list the top 3 reasons you wish to enroll your child(ren) at Providence Classical Christian School. a. b. c. 7. Providence uses the Bible as the final source of truth in all matters of faith and conduct. What role does the Bible serve in your home? 8. How do you think parents should participate in the education of their children? 9. Providence has high expectations for behavior and conduct both in school and out of school. How will you help support these expectations? 10. Please discuss the value reading plays in your home and your thoughts as a family regarding the importance of reading to, and with, your children. 11. Fundamental to the mission of Providence is the pursuit of academic excellence. This includes a rigorous curriculum and an appropriate amount of homework (specifics are outlined in our Family Handbook). Please share your thoughts about homework as it pertains to your child. 18943 120th Ave NE, Bothell, WA 98011 ½ Phone: 425-774-6622 ½ Fax: 425-483-3702 ½ admissions@pccs.org

12. Discuss your family s level of involvement at your church (e.g. Bible studies, Sunday school, leadership roles, youth groups, etc.) 13. Briefly discuss your personal belief in, and commitment to, Jesus Christ. Father: Mother: Statement of Faith Below are selected portions from the school statement of faith. (For the complete school statement of faith, please see pccs.org or the Family Handbook.) The substance of the complete statement of faith is that which will be considered primary doctrine in the school. Secondary or divisive doctrines and issues will not be presented as primary doctrine. When these types of doctrine or issues arise they will be referred to the family and local churches for final authority. Summary Statement We believe the Bible to be the inerrant and only Word of God, plenarily inspired by the Holy Spirit. It is our only authoritative rule for faith and practice. It is the supreme standard by which all human conduct, creed, and opinion shall be tried and is the standard of and for all truth. We believe that there is one God, eternally existent in three persons Father, Son and Holy Spirit. He is omnipotent; that is, He is allpowerful. He is omnipresent; that is, He is present throughout Creation but not limited by it. He is omniscient; that is, nothing is hidden from His sight. In all things He is limited by nothing other than His own nature and character. We believe the God we serve is holy, righteous, good, severe, loving, and full of mercy. He is the Creator, Sustainer, and Governor of everything that has, is, or will be made. We believe in the true deity and full humanity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father and in His personal return in power and glory. We believe in the full deity of the Holy Spirit, acknowledging Him together with the Father and the Son as Creator and Redeemer. We believe that because of Adam s sin all mankind is in rebellion against God. For the salvation of such lost and sinful men, regeneration by the Holy Spirit is absolutely necessary. We believe that salvation is by grace through faith alone, and that faith without works is dead. We believe in the present ministry of the Holy Spirit, by whose indwelling the Christian is enabled to live a godly life. We believe in the resurrection of both the saved and lost those who are saved to the resurrection of life, and those who are lost to the resurrection of damnation. We believe in the spiritual unity of all believers in our Lord Jesus Christ. We believe in the spiritual unity of all believers in our Lord Jesus Christ. 18943 120th Ave NE, Bothell, WA 98011 ½ Phone: 425-774-6622 ½ Fax: 425-483-3702 ½ admissions@pccs.org

Marriage, Sexuality, and Gender We believe God created marriage to be between one man and one woman in a one-flesh union for life, uniquely reflecting Christ s relationship with his church (Gen 2:18-25; Eph 5:21-33). Marriage also serves as the foundational unit of a stable society (1 Cor 7:2). It provides the best environment for children, and the decline in life-long, heterosexual marriage relationships is a significant contributor to many negative cultural developments. We believe gender also matters to God. God s creation of each person as male and female is complementary within marriage and reflects the image and nature of God (Gen 1:26-27). Those who reject their biological sex reject God s design and the person He created them to be. We believe that any form of sexual immorality (including adultery, fornication, homosexual behavior, bisexual conduct, bestiality, incest, and use of pornography) is sinful and offensive to God (Matt 15:18-20;1 Cor 6:9-10). We believe that to preserve the integrity of Providence and to provide a biblical role model to the students and faculty, it is imperative that all persons representing Providence in any capacity (employees, volunteers, etc.) agree to and abide by the Statement on Marriage, Sexuality, and Gender. We believe that every person must be afforded compassion, love, kindness, respect, and dignity, and that God offers redemption, forgiveness, and restoration to all who confess and forsake their sin (Acts 3:19-21; Rom 10-9-10; 1 Cor 6:9-11). YES NO I have read the above sections from the Statement of Faith. r r I am in agreement with the Summary Statement above. r r I am in agreement with the statement on Marriage, Sexuality, and Gender. r r I have read the complete Statement of Faith and Providence Vision Statement. r r I understand that Providence will require a school uniform. r r Parent Signature Date Parent Signature Date Providence Classical Christian School does not discriminate on the basis of race, color, or national or ethnic origin in its administration of its educational policies, admissions policies, financial aid grants, and athletic and other school-administered programs. 18943 120th Ave NE, Bothell, WA 98011 ½ Phone: 425-774-6622 ½ Fax: 425-483-3702 ½ admissions@pccs.org

NEW STUDENT PROFILE Please complete this form in full for each child applying for enrollment. A non-refundable application fee of $100 for each new student is required at the time of application. Please return this form to: Admissions Providence Classical Christian School 18943 120th Ave NE, Bothell, WA 98011 email: admissions@pccs.org Applying for Grade: Current Grade: School Year: Student s Full Name: Last First Middle Preferred Name Current (or previous) school: Date of Birth: Male: Female: Has your child ever been suspended or expelled from school? Has your child ever been asked to withdraw from school? *Has your child ever been tested for any type of learning disability (e.g. dyslexia, autism, hyperactivity, attention deficit disorder, etc.)? *Has your child ever been referred to or placed in a special learning program (gifted, remedial, etc.)? *Has your child received any other special help or tutoring? *Has your child ever repeated a grade for any reason? Does your child have allergies? Yes No Yes No Yes No Yes No Yes No Yes No Yes No *Please refer to the Family Handbook for the policy on learning disabilities. If you answered yes to a question above, explain the circumstances on the back of this sheet. What are your child s academic strengths? What are your child s character strengths? _ 18943 120th Ave NE, Bothell, WA 98011 Phone: 425-774-6622 Fax: 425-483-3702 admissions@pccs.org

What academic and character areas of growth are you working on with your child? Please use the lines below for any additional information: 18943 120th Ave NE, Bothell, WA 98011 Phone: 425-774-6622 Fax: 425-483-3702 admissions@pccs.org

STUDENT QUESTIONNAIRE: Grades 7-12 TO THE APPLICANT: Please complete this questionnaire without assistance from anyone, and then mail or email to: Admissions Providence Classical Christian School 18943 120th AVE NE, Bothell, WA 98011 email: admissions@pccs.org Applying for Grade: Current Grade: Applying for School Year: PRINT Full Name: Last First Middle Preferred Name Please complete legibly. Leave blank any questions that do not apply to you. How many hours per week do you spend on homework? How many hours per week do you read for pleasure? List two books not assigned that you have read and enjoyed in the last year: List organizations, sports, hobbies, musical endeavors, etc., in which you are interested or participate: What subjects do you most enjoy? What subjects to you least enjoy? Describe your favorite teacher. Why has this person made such a strong impression on you? What do you like most about your current school? If there was one thing you could change, what would it be? What TV shows and movies do you enjoy watching? What kind of music, songs, and/or groups do you like? What are your greatest strengths? Weaknesses? 18943 120th Ave NE, Bothell, WA 98011 Phone: 425-774-6622 Fax: 425-483-3702 admissions@pccs.org

Describe your relationship with your parents and siblings: List jobs inside and outside the family (include volunteer and service): List positions of leadership or responsibility that you hold in your school, church, or community: Write about an experience that has taught you a lesson: Describe your personal walk with the Lord: Is it your personal desire to attend Providence? Why? List your reasons, in order, for wanting to attend Providence: What concerns do you have about attending Providence? The church you attend is: I have read the statement of faith and agree with it. Yes No Comments: Thank you for your candor. Your responses give us the opportunity to know you better. Signature: Date:

Grades 6-12 MATHEMATICS TEACHER RECOMMENDATION TO THE PARENT OR GUARDIAN My child is an applicant for admission to Providence Classical Christian School. We waive our right of access to this teacher recommendation form. We understand it will not become part of the permanent file, nor will it be forwarded to other schools. We ask that the teacher complete this evaluation and mail or scan and email it directly to admissions@pccs.org. Student s Name Applying for Grade Parent/Guardian Signature Date TO THE MATHEMATICS TEACHER Thank you for taking the time to complete this recommendation. All information will be considered strictly confidential. Once completed, please scan and email it to admissions@pccs.org or mail it directly to Providence Classical Christian School, ATTN: Admissions. Teacher s Name Date Course Title I am currently teaching this student: Yes No I have known this applicant for years. I have been teaching for years. Personal Characteristics Please assess the student as compared with their peers: Below Expectations Average Good Exceptional N/A Peer Relations Attitude towards authority Assumption of responsibility Citizenship/conduct Management of conflict/correction Emotional maturity Academic Performance Leadership qualities Self-confidence Self-control Trustworthiness Facts/computation skills Concepts/problem solving skills Abstract thought Oral expression Motivation (Continued on back) 18943 120th Ave NE, Bothell, WA 98011 Phone: 425-774-6622 Fax: 425-483-3702 admissions@pccs.org

Study Habits Below Expectations Average Good Exceptional N/A Ability to work independently Ability to work with others Completes work on time Attention span Organization/care of materials Work ethic Time management Follows directions CIRCLE THE WORDS THAT BEST DESCRIBE THIS APPLICANT Aggressive Disobedient Irritable Organized Self-Disciplined Anxious Easily discouraged Manipulative Over-protected Shy Articulate Follower Mature Perfectionist Social Cheerful Helpful Motivated Positive leader Vivacious Confident Honest Negative leader Responsible Well-liked Conscientious Immature Oppositional Self-centered Witty PLEASE COMMENT ON THE FOLLOWING: Parental support and involvement: Very Helpful Helpful Not Very Helpful Comments: If outside help has been recommended, please elaborate: Student is Absent: Rarely Occasionally Frequently Student is Tardy: Rarely Occasionally Frequently Please describe a situation or time that illustrates the student s character: Additional comments: PLEASE SELECT FROM ONE OF THE FOLLOWING RECOMMENDATIONS: Highly recommend Recommend Recommend with reservation because Do not recommend because Teacher s Signature School Address City State ZIP Email Phone

Grades 6-12 ENGLISH TEACHER RECOMMENDATION TO THE PARENT OR GUARDIAN My child is an applicant for admission to Providence Classical Christian School. We waive our right of access to this teacher recommendation form. We understand it will not become part of the permanent file, nor will it be forwarded to other schools. We ask that the teacher complete this evaluation and submit directly to Admissions at Providence Classical Christian School. Student s Name Applying for Grade Parent/Guardian Signature Date TO THE TEACHER Thank you for taking the time to complete this recommendation. All information will be considered strictly confidential. Once completed, please submit to admissions@pccs.org or mail to Admissions, Providence Classical Christian School. Teacher s Name Date Course Title I am currently teaching this student: Yes No I have known this applicant for years. I have been teaching for years. Personal Characteristics Please assess the student as compared with their peers: Below Expectations Average Good Exceptional N/A Peer Relations Attitude towards authority Assumption of responsibility Citizenship/conduct Management of conflict/correction Emotional maturity Leadership qualities Self-confidence Self-control Trustworthiness Academic Performance Reading comprehension/grade level Analytical skills in reading Writing skills Spelling Punctuation Vocabulary Ability to write 5 paragraph essay Composition quality Grammar knowledge Oral expression (Continued on back) 18943 120th Ave NE, Bothell, WA 98011 Phone: 425-774-6622 Fax: 425-483-3702 admissions@pccs.org

Study Habits Below Expectations Average Good Exceptional N/A Ability to work independently Ability to work with others Completes work on time Attention span Organization/care of materials Work ethic Time management Follows directions CIRCLE THE WORDS THAT BEST DESCRIBE THIS APPLICANT Aggressive Disobedient Irritable Organized Self-Disciplined Anxious Easily discouraged Manipulative Over-protected Shy Articulate Follower Mature Perfectionist Social Cheerful Helpful Motivated Positive leader Vivacious Confident Honest Negative leader Responsible Well-liked Conscientious Immature Oppositional Self-centered Witty PLEASE COMMENT ON THE FOLLOWING: Parental support and involvement: Very Helpful Helpful Not Very Helpful Comments: If outside help has been recommended, please elaborate: Student is Absent: Rarely Occasionally Frequently Student is Tardy: Rarely Occasionally Frequently Please describe a situation or time that illustrates the student s character: Additional comments: PLEASE SELECT FROM ONE OF THE FOLLOWING RECOMMENDATIONS: Highly recommend Recommend Recommend with reservation because Do not recommend because Teacher s Signature Address Email School City State ZIP Phone

TO THE PARENT OR GUARDIAN Please complete the information below, sign the consent statement, and give this form to your child s school. Student s Name: _ Last First Middle Preferred Name Current Grade: PRINCIPAL / HEADMASTER / COUNSELOR has my consent to release copies of all school records to Providence Classical Christian School. Name of current school I waive my right of access to any information deemed confidential in my child s file. Parent/Guardian Signature Date TO THE CURRENT SCHOOL The above named child is applying for admission to Providence Classical Christian School. All information will be kept confidential and will not be shared with anyone outside of Providence. Name of School Official Title Signature of School Official School City/State Email Phone Providence Classical Christian School does not discriminate on the basis of race, color, national or ethnic origin in the administration of its educational, admission, financial aid or employment policies, or any other programs administered by the school. (Continued on back) 18943 120th Ave NE, Bothell, WA 98011 Phone: 425-774-6622 Fax: 425-483-3702 admissions@pccs.org

How well do you know the student academically? As a person? School serves grades: to Number of students in entire school: How many students are in the applicant s entire grade? Please comment on the applicant s attitude toward school: To your knowledge, does the student have any history of conduct or behavior problems? Yes If yes, please explain: No Has this student ever been dismissed, suspended, placed on probation, or received other serious disciplinary sanctions? Yes No If yes, please explain: Does the applicant have a history of any learning differences? Yes No Does he/she require special assistance to meet academic requirements? What are the first three words that come to mind to describe this student? 1. 2. 3. PLEASE SELECT FROM ONE OF THE FOLLOWING RECOMMENDATIONS: Highly recommend Recommend Recommend with reservation because Do not recommend because