WELCOME to our Website
ASK US!
We are happy to
accommodate inquiries,
meet with parents, and
arrange tours of the
classroom facilities.
Simply call or email the
office. "Open House" is
any and every day!
We are happy to
accommodate inquiries,
meet with parents, and
arrange tours of the
classroom facilities.
Simply call or email the
office. "Open House" is
any and every day!
Phone:
Providence Christian Academy
ProvCA@aol.com
Nadean D. Sheppard
Head of School
P.O. Box 207
Adelphia, NJ 07710
Located at
61 Georgia Road
Freehold, NJ 07728
HOW TO CONTACT US:
732-462-2347
Directions:
Take Highway 9 to Elton-Adelphia Road
West (Route 524) to 61 Georgia Road in
Freehold Township.
Easily reached from Rt.33, Rt 537, and all
surrounding towns via local roads. We are
just around the corner from Freehold
Township High School.
West (Route 524) to 61 Georgia Road in
Freehold Township.
Easily reached from Rt.33, Rt 537, and all
surrounding towns via local roads. We are
just around the corner from Freehold
Township High School.
Contact Us> APPLICATION BELOW!
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| “He has showed you, O man, what is good. And what does the Lord require of you? To act justly and to love mercy and to walk humbly with your God.” Micah 6:8 |
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Academic excellence in a Christ-centered environment. |
ADMISSIONS APPLICATION
Providence Christian Academy
61 Georgia Road, Freehold Township, NJ 07728
ProvCA@aol.com 732-462-2347 www.ProvCa.org
Pre-Kindergarten – 6th grade: $200.00 registration fee and $250.00 book fee.
Registration fee due with application.
Book fee due with first tuition payment August 1st or with application if enrolling after August 1st.
TERRIFIC 3s – $250.00 covers registration, books and supplies due with application.
Today’s date: __________________REFERRING FAMILY________________
Person completing application______________Relationship to child________
Child’s Full Name: _______________________________________________
Name child prefers to be called: _____________________________________
Complete Address:________________________________________________
Home phone number: _____________________________________________
Sex: __________Age: __________Date of Birth: ________________________
Terrific 3s: Full days: 8:30 – 3:00 or Half-days: 8:30 – 11:30
M, T, W, Th, F _________ ________
M, W, F _________ ________
T, Th _________ ________
OTHER Option needed:____________________________________________
Note: Terrific 3s must be bathroom trained or in “Pull Ups” stage.
Pre-Kindergarten:
Full day 5 days:___ M, W, F Full day:____ 5 days, morning only 8:30-12:00___
Kindergarten 1st 2nd 3rd 4th 5th 6th
The recommended cut off date is October 1st. Call to discuss your child if they do not make this date.
Father’s Name: _________________________Occupation: ______________
Employer: ______________Address: ________________________________
Work phone: _____________________Cell phone: _____________________
Father’s E-mail address:__________________________________________
Mother’s Name: _________________________Occupaton: ______________
Employer: _______________Address: _______________________________
Work phone: _____________________Cell phone: _____________________
Mother’s E-mail address: __________________________________________
My child lives with both parents___, mother only___, father only____.
If child lives with someone other than birth parent(s) please indicate the name and relationship to the
child: ____________________________________________
Other Children in Family:
Name: Age: Grade: School:
Please share any family or life situations now, and throughout the year, that you feel
will assist the teacher in helping your child. Family health concerns, deaths, divorce
or separation are among the life situations a child may face. We are here to help
them through in any way possible.
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Mission and Vision of Providence Christian Academy
MISSION:
Providence Christian Academy exists to educate and nurture children through a strong academic
curriculum; developing thinking, responsible, self-disciplined learners who acknowledge the
sovereignty of God over every aspect of life through obedience to Him.
VISION:
When students leave Providence Christian Academy to pursue their next level of education they will
be:
Statement of Faith
We believe:
The Bible to be the inspired Word of God
In only one God, existing in three persons: The Father, the Son, and the Holy Spirit
In the deity of Christ, His virgin birth and His sinless life
In the miracles of Christ and His atoning death through His shed blood
In the resurrection of Christ and His ascension to the right hand of the Father
In the Lordship of Christ over all life and His future return
In the spiritual unity of all believers in Christ
I have read the Mission, Vision, and Statement of Faith: Yes___Initial: _________
CHURCH AFFILIATION: Yes___No___ Are you a member? Yes___ No___
Church Name: ______________________________________________________
Church Address: ____________________________________________________
Pastor’s Name: ____________________________Phone number: ____________
What is your reason for applying to Providence Christian Academy?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Child’s CURRENT SCHOOL:
Name: ____________________________________________________________
Address: __________________________________________________________
Phone number: ______________________Grade last completed: ______________
CONDUCT:
Has the student ever been suspended or expelled from a school? _____________
If so, please explain__________________________________________________
Did the student have previous discipline problems in school? _________________
If so, please explain__________________________________________________
TESTING:
Has the student ever been recommended for or been evaluated by a Child Study Team? If so, briefly
describe the results: _________________________________
__________________________________________________________________
CHILD’S INTERESTS:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
HEALTH:
Please submit the health packet and return it to school as soon as possible.
ALLERGIES _______________________________________________________
__________________________________________________________________
Is the student taking any medication on a regular basis? Yes_____No_______
Medication name:____________________________________________________
Dosage: _____________________________Frequency:_____________________
Are there any physical handicaps or disabilities?
Are there any major physical or medical concerns?
Child’s physician: ________________________Phone number: _______________
Complete address:
__________________________________________________________________
EMERGENCY INFORMATION:
Responsible available individual to contact if parents can’t be reached:
Name: ___________________________________Phone number:_____________
Name: ___________________________________ Phone number: ____________
I understand that the school is funded totally by tuition, which is due on the
first day of the month. I will pay tuition in a timely manner. I understand that
a $25.00 late fee will be added for payments received after the 5th of the
month. I understand that a returned check fee of $25.00 will be charged
to my account. I understand that tuition past due one month will be cause
for my child to be barred from returning to school until tuition payments are current.
I will immediately bring any payment concerns to the office.
Signature________________________Date______________________
Providence Christian Academy
61 Georgia Road, Freehold Township, NJ 07728
ProvCA@aol.com 732-462-2347 www.ProvCa.org
Pre-Kindergarten – 6th grade: $200.00 registration fee and $250.00 book fee.
Registration fee due with application.
Book fee due with first tuition payment August 1st or with application if enrolling after August 1st.
TERRIFIC 3s – $250.00 covers registration, books and supplies due with application.
Today’s date: __________________REFERRING FAMILY________________
Person completing application______________Relationship to child________
Child’s Full Name: _______________________________________________
Name child prefers to be called: _____________________________________
Complete Address:________________________________________________
Home phone number: _____________________________________________
Sex: __________Age: __________Date of Birth: ________________________
Terrific 3s: Full days: 8:30 – 3:00 or Half-days: 8:30 – 11:30
M, T, W, Th, F _________ ________
M, W, F _________ ________
T, Th _________ ________
OTHER Option needed:____________________________________________
Note: Terrific 3s must be bathroom trained or in “Pull Ups” stage.
Pre-Kindergarten:
Full day 5 days:___ M, W, F Full day:____ 5 days, morning only 8:30-12:00___
Kindergarten 1st 2nd 3rd 4th 5th 6th
The recommended cut off date is October 1st. Call to discuss your child if they do not make this date.
Father’s Name: _________________________Occupation: ______________
Employer: ______________Address: ________________________________
Work phone: _____________________Cell phone: _____________________
Father’s E-mail address:__________________________________________
Mother’s Name: _________________________Occupaton: ______________
Employer: _______________Address: _______________________________
Work phone: _____________________Cell phone: _____________________
Mother’s E-mail address: __________________________________________
My child lives with both parents___, mother only___, father only____.
If child lives with someone other than birth parent(s) please indicate the name and relationship to the
child: ____________________________________________
Other Children in Family:
Name: Age: Grade: School:
Please share any family or life situations now, and throughout the year, that you feel
will assist the teacher in helping your child. Family health concerns, deaths, divorce
or separation are among the life situations a child may face. We are here to help
them through in any way possible.
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Mission and Vision of Providence Christian Academy
MISSION:
Providence Christian Academy exists to educate and nurture children through a strong academic
curriculum; developing thinking, responsible, self-disciplined learners who acknowledge the
sovereignty of God over every aspect of life through obedience to Him.
VISION:
When students leave Providence Christian Academy to pursue their next level of education they will
be:
- Academically prepared: having grown in wisdom, knowledge and understanding
- Socially responsible: understanding their relationship to the immediate community in which they
live and the world at large, striving to love their neighbor as themselves, and - Biblically rooted: viewing their life and the world from God’s perspective.
Statement of Faith
We believe:
The Bible to be the inspired Word of God
In only one God, existing in three persons: The Father, the Son, and the Holy Spirit
In the deity of Christ, His virgin birth and His sinless life
In the miracles of Christ and His atoning death through His shed blood
In the resurrection of Christ and His ascension to the right hand of the Father
In the Lordship of Christ over all life and His future return
In the spiritual unity of all believers in Christ
I have read the Mission, Vision, and Statement of Faith: Yes___Initial: _________
CHURCH AFFILIATION: Yes___No___ Are you a member? Yes___ No___
Church Name: ______________________________________________________
Church Address: ____________________________________________________
Pastor’s Name: ____________________________Phone number: ____________
What is your reason for applying to Providence Christian Academy?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Child’s CURRENT SCHOOL:
Name: ____________________________________________________________
Address: __________________________________________________________
Phone number: ______________________Grade last completed: ______________
CONDUCT:
Has the student ever been suspended or expelled from a school? _____________
If so, please explain__________________________________________________
Did the student have previous discipline problems in school? _________________
If so, please explain__________________________________________________
TESTING:
Has the student ever been recommended for or been evaluated by a Child Study Team? If so, briefly
describe the results: _________________________________
__________________________________________________________________
CHILD’S INTERESTS:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
HEALTH:
Please submit the health packet and return it to school as soon as possible.
ALLERGIES _______________________________________________________
__________________________________________________________________
Is the student taking any medication on a regular basis? Yes_____No_______
Medication name:____________________________________________________
Dosage: _____________________________Frequency:_____________________
Are there any physical handicaps or disabilities?
Are there any major physical or medical concerns?
Child’s physician: ________________________Phone number: _______________
Complete address:
__________________________________________________________________
EMERGENCY INFORMATION:
Responsible available individual to contact if parents can’t be reached:
Name: ___________________________________Phone number:_____________
Name: ___________________________________ Phone number: ____________
I understand that the school is funded totally by tuition, which is due on the
first day of the month. I will pay tuition in a timely manner. I understand that
a $25.00 late fee will be added for payments received after the 5th of the
month. I understand that a returned check fee of $25.00 will be charged
to my account. I understand that tuition past due one month will be cause
for my child to be barred from returning to school until tuition payments are current.
I will immediately bring any payment concerns to the office.
Signature________________________Date______________________