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Thank you for your interest in applying to Providence Academy. Please complete the information on this application. Once submitted, an Admissions team member will contact you to review next steps. Thank you.

Has your family applied before or does your family have a current student at Providence Academy

YesNo

Household Information

Last Name

Home Phone

Household Address

Address

City

State

Zip Code

Country

Parent/Guardian Page

Parent1/Legal Guardian1

Name

Title

First

Last

Sex

Graduation year if a PA Alumna/Alumnus

Maiden Name (If Applicable) if a PA Alumna

Phone

Home

Mobile

Work

Preferred Phone

Email

Personal

Work

Preferred Email

Is the Household Address the Same or Different?

Same AddressDifferent Address

Address

Address

City

State

ZipCode

Country

Business Information

Business Organization Type

Employer Name

Position/Title

Employer Address

Address

City

State

ZipCode

VO-Tech/College/Universities Attended and Degrees Achieved

2nd Parent Guardian

Legal Reason

Parent2/Legal Guardian2

Name

Title

First

Last

Sex

Parent/Guardian 2 is Parent/Guardian 1's

Graduation year if a PA Alumna/Alumnus

Maiden Name (If Applicable) if a PA Alumna

Phone

Home

Mobile

Work

Preferred Phone

Email

Personal

Work

Preferred Email

Is the Household Address the Same or Different?

Same AddressDifferent Address

Address

Address

City

State

ZipCode

Country

Business Information

Business Organization Type

Employer Name

Position/Title

Employer Address

Address

City

State

ZipCode

VO-Tech/College/Universities Attended and Degrees Achieved

Application Page

APPLICANT INFORMATION

Legal Name

First

Middle

Last

Suffix

Nick Name

Applicant#

Is the Household Address the Same or Different?

Same AddressDifferent Address

Address

Address

City

State

ZipCode

Country

General Information

Birth Date

Sex

Current Grade

School Year Applying for

Grade Level Applying for

Race

First Language Spoken by Student

Language Most Often Spoken at Home

Family Member of Alumni

Family Member of Employee

Religious Affiliation

Parish/Church Student is Attending

Parent/Guardian 1 Relationship to Applicant

Parent/Guardian 2 Relationship to Applicant

How did you hear about us?

Previous School Information

School Name

School Phone

School Type

Additional Applicant Information

Why is the applicant interested in attending Providence Academy?

Describe the applicant's personality

Select all Extra Curricular Activities

Please add any details about the applicant's extra-curricular activities, and hobbies.

Has the applicant ever been subject to disciplinary action in any school?

YesNo

Please Explain

Has the applicant ever skipped or repeated a grade, had formal tutoring or participated in remedial or enriched classes?

YesNo

Please Explain

To Add Another Applicant - Select "Add another response" below right.

Non applying Sibling Page

Does the applicant have any sibling(s) who are not current applicants?

Sibling(s)

Name

First

Middle

Last

Family Member of Alumni

Family Member of Employee

Is the Household Address the Same or Different?

Same AddressDifferent Address

Address

City

State

ZipCode

Country

Birth Date

Sex

Current Grade

Relationship to Applicant

Relationship to Parent1/Legal Guardian1

Relationship to Parent2/Legal Guardian2

To add another sibling select add another response below.

Payment

Application Payment Information

Customer Information

First Name

Last Name

Email Address

Phone

Billing Information

Address

City

State

ZipCode

Country

Credit Card Information

Credit Card Number

CVV

Card Expiration Month

Card Expiration Year

Application Fee

There is a fee of $35 to apply.

Applicant Quantity:

Fee:

Total:

Authnet_Hidden_Fields

Providence Academy is a Roman Catholic college-preparatory school with a comprehensive, core-knowledge curriculum that promotes superior academic achievement, mastery of skills and content, character development and citizenship within a faith-filled, Christian environment.

Providence Academy is committed to providing access and reasonable accommodation in its services, programs, activities, and education for qualified students with disabilities. Upon acceptance students will be provided contact information for the appropriate Divisional Director to discuss reasonable accommodations.

Providence Academy admits students of any race, color, and national and ethnic origin to all rights, privileges, programs and activities generally made available to students at the school. We do not discriminate on the basis of race, color, national and ethnic origin in the administration of our educational policies, admissions policies, scholarship and loan programs, and athletic and other school administered programs.

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