Introduction

This is the on-line application form for Prairie Christian Academy School.

This form must be filled out by the parent(s) or guardian(s) of the child who this application is for.

Student Information

How many children are applying?

-= Child One =-

First Name

Middle Name

Last Name

Birthday

home address

Address Line 1

Address Line 2

City

Province

Postal Code

Country

last grade completed

last schools name

's last schools address

Address Line 1

Address Line 2

City

Province

Postal Code

Country

-= Child Two =-

First Name

Middle Name

Last Name

Birthday

Does live at the same place

Yes

No

home address

Address Line 1

Address Line 2

City

Province

Postal Code

Country

last grade completed

Did attend the same school?

Yes

No

last schools name

's last schools address

Address Line 1

Address Line 2

City

Province

Postal Code

Country

-= Child Three =-

First Name

Middle Name

Last Name

Birthday

Does live at the same place

Yes

No

home address

Address Line 1

Address Line 2

City

Province

Postal Code

Country

last grade completed

Did attend the same school?

Yes

No

's last schools address

Address Line 1

Address Line 2

City

Province

Postal Code

Country

-= Child Four =-

First Name

Middle Name

Last Name

Birthday

Does live at the same place

Yes

No

home address

Address Line 1

Address Line 2

City

Province

Postal Code

Country

Did attend the same school?

Yes

No

last schools name

's last schools address

Address Line 1

Address Line 2

City

Province

Postal Code

Country

Family Information

Marital Status

Mother

Father

Fathers Information

Fathers First Name

Middle Name

Last Name

Fathers Email

Fathers Mobile Number

Place of Employment

Position

Work Phone

Mothers Information

Mothers First Name

Middle Name

Last Name

Mothers Email

Mothers Cell Phone

Place of Employment

Position

Work Phone

Names of children not attending

Any other children?

Yes

No

Name of children not attending

Name	Age

Emergency Contact

If more then one person, please enter in order of priority.

Emergency Contacts information

First Name	Last Name	Phone Number

Religious Information

Please enter the information for the church you are attending

Do you attend church?

Yes

No

Pastors First Name

Pastors Last Name

Church Name

Church Phone

Church Address

Address Line 1

Address Line 2

City

Province

Postal Code

General Information

How did you hear about Prairie Christian Academy?

Reason for choosing Prairie Christian Academy?

International Student

Is the Applicant or Applicants an international student(s)?

Yes

No

International students may qualify for government funding and therefore may be required to pay regular tuition. Please read the following and indicate which criteria the international student would fall under.

International Student Criteria

At least one parent has a valid work permit and is moving to an address in Saskatchewan (the student lives with the parent holding the work permit)

At least one parent has a valid study permit and is registered in a full time degree or diploma program (short term EAL courses are excluded).

***The student and or parents are visiting Canada. In this case we would not count the student for funding purposes.
***Students in Canada for the sole purpose of education and are not accompanied by parents. In this case we would not count the student for funding purposes.

Please contact the Prairie Christian Academy school office for current international non-funded tuition rates (306) 652-2230

Prairie Christian Academy
Student Application

Student Application Form

Introduction

Student Information

-= Child One =-

-= Child Two =-

-= Child Three =-

-= Child Four =-

Family Information

Fathers Information

Mothers Information

Names of children not attending

Emergency Contact

Religious Information

Medical Information

-= Child One: =-

-= Child Two: =-

-= Child Three: =-

-= Child Four: =-

Scholastic Information

-= Child One: =-

-= Child Two: =-

-= Child Three: =-

-= Child Four: =-

General Information

International Student

Prairie Christian AcademyStudent Application

Student Application Form

Introduction

Student Information

-= Child One =-

-= Child Two =-

-= Child Three =-

-= Child Four =-

Family Information

Fathers Information

Mothers Information

Names of children not attending

Emergency Contact

Religious Information

Medical Information

-= Child One: =-

-= Child Two: =-

-= Child Three: =-

-= Child Four: =-

Scholastic Information

-= Child One: =-

-= Child Two: =-

-= Child Three: =-

-= Child Four: =-

General Information

International Student

Prairie Christian Academy
Student Application