2019-2020 Family Application
Father's Full Name
Father's Email Address
Father's Cell Phone
Father's Marital Status
Please check all that apply
Number of hours/week father works outside the home
less than 40
more than 40
Father's Highest Level of Formal Education Earned
Did not graduate high school
High School Diploma
Father's Spiritual Background
Is the father a Christian?
Has the father read the Providence Statement of Faith and does he personally affirm and also agree to teach these truths to his family?
The Providence Statement of Faith may be found at
What church does the father attend?
Providence recognizes and affirms the God given authority of the local church and joyfully supports and submits to her leadership. We also affirm the Church to be the repository of truth and in no way intend to usurp or replace her instruction. Rather, our desire is to serve the church as a trusted resource in the education of children. In light of this, Providence trusts the local church in accessing the spiritual health of those in her body. As part of the application process, therefore, each family will also be asked to provide a reference of a church leader close to them (pastor, elder, etc).
Is the father a regular attendee of the above church?
Number of years father has attended above church:
Is the father a member of the above church?
N/A - church does not have membership
N/A - father does not attend church
Please briefly share how the father came to place his faith in Jesus Christ:
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