PCA

Email *

Applying for Grade *

Interested in Starting *

Student Information

First Name *

Common Name (if applicable)

Middle Name

Put 'N/A' if not applicable

*

Last Name (Surname) *

Birthday *

Age *

Gender *

Home Information

Street Number & Name *

City *

Province/State *

Country *

Postal Code *

Home Phone *

Custody *

If Shared Custody

Citizenship Information

Status in Canada *

Date of Entry

First Language *

Languages Spoken *

Country Born In *

Sibling Information

For each student, include the Sibling's Name, Grade, and Applying or Enrolled
Example: John Smith, 6A, Enrolled

First Sibling

Second Sibling

Third Sibling

Father's Information

Father's First Name *

Father's Last Name (Surname) *

Father's Email *

Father's Occupation *

Father's Cellphone *

Father's Work Phone

Mother's Information

Mother's First Name *

Mother's Last Name (Surname) *

Mother's Email *

Mother's Occupation *

Mother's Cellphone *

Mother's Work Phone

Emergency Contact

First & Last Name *

Phone Number *

Relationship to Student *

Health Information

Family Doctor's Name *

Family Doctor's Phone *

Health Card Number * or other medical insurance

Allergies

Tuition Payment

Please input the information of the individual who will be paying the tuition.

First Name *

Last Name (Surname) *

Relationship to Student *

Email *

Phone Number *

Street Number & Name *

City *

Province *

Country *

Postal Code *

Tuition Discount

Tuition discounts are available subject to eligibility. See Application Procedure for further information. Peoples Christian Academy reserves the right to make changes to, delete, or modify the discounts without prior notification.

Does a parent work full time in Christian Ministry? *

Does a parent work full time as a Local Church Pastor? *

Church & Referral Information

Your church's name? *

Are you a PCA Alumni? *

Why do you wish to study at PCA? *

How did you hear about PCA? *

Academic History

Has the student ever attended PCA before? *

If yes, please provide the grade(s) attended and year(s) attended

Schools Attended now and in the last three years (include the school name, school address, grade(s) and year(s) *

Does the student have any special needs which affect his/her education? *

Has the student been involved in a modified and/or individual education program *

Has the student ever been suspended? *

Has the student ever been asked to withdraw from school? *

Has the student ever been expelled? *

If yes to any of the questions, please explain

Student Interests

This section is mandatory for students applying to Grades 6 - 12

Students applying for JK to Grade 5 do not need to complete this section.

List extra-curricular(s) activities

List church involvement

Do you use tobacco?

Do you use marijuana?

Do you drink alcohol?

Do you vape?

If yes to using tobacco, marijuana, alcohol or vaping please explain

Student Assignment

Please write a composition on one of the following topics:

The biggest challenge facing teenagers today is...

Canada is the best country in the world in which to live because...

My favourite activity or hobby is...

Please upload your composition

Middle and Senior School Student Pledge

I desire to attend Peoples Christian Academy or I am willing to be under the authority of my parents in submitting and deferring to their wishes concerning enrollment at Peoples Christian Academy. I understand that Christian teachers are in partnership with my parents. I will strive to obey them also as they seek to train me according to God's Word. I will seek to live a godly life in and out of school in order that Jesus Christ will be glorified. I understand that willful disobedience of these principles and the guidelines of the Family-School Handbook may result in my dismissal from Peoples Christian Academy.

Finalize Application

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PCA Admission Application