Providence Academy Student Application Save my progress and resume later | Resume a previously saved form Resume Later In order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Confirm Password: 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. Household Information Last Name Home Phone Household Address Address City StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Country APPLICANT INFORMATION Legal Name First Middle Last Suffix Nick Name Applicant# Is the Household Address the Same or Different?Same AddressDifferent Address Address Applicant Address City StatePlease select... 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American Indian or Alaskan Native Asian Black or African American Hispanic Native Hawaiian or Pacific Islander White I do not wish to respond First Language Spoken by Student Language Most Often Spoken at Home Family Member of Alumni Family Member of Employee Religious AffiliationPlease select... Anglican Baha'i Baptist Buddhist Catholic Charismatic Christian Christian Non-Denominational Christian Orthodox Congregational Covenant Disciples of Christ Eastern Orthodox Episcopal Evangelical Free Evangelical Lutheran Evangelical Protestant Greek Orthodox Hindu Interdenominational Jewish Jewish Mennonite Lutheran Methodist Mormon Muslim Pentecostal Presbyterian Protestant Seventh Day Adventist Unitarian I do not wish to respond No Formal Affiliation But Christian Values No Formal Religious Affiliation Not Religious Other Other Christian Parish/Church Student is AttendingPlease select... Advent Lutheran All Saints Catholic Church, Lakeville Ascension Evangelical Lutheran, Plymouth Ascension, Minneapolis Assemblies of God, Maple Grove Assumption, Richfield Basilica of St. Mary, Minneapolis Beautiful Savior Lutheran Church, Plymouth Berean Baptist Bethel Lutheran Church, Fergus Falls, MN Bethlehem Lutheran Church, Lakeville Brooklyn United Methodist, Brooklyn Center Calvary Baptist (Clearwater, FL) Calvary Church of Edina Calvary Lutheran of Golden Valley Cathedral of St. Paul Cathedral of the Incarnation Catholic Church Central Lutheran Church Christ Lutheran Church, Blaine Christ Presbyterian Church, Edina Christ The King Catholic, Mpls Christian Missionary Alliance Church of All Saints, FSSP Minneapolis Church of Christ the King, New Vernon, NJ Church of St. Joseph, West St. Paul Church of St. Michael, Prior Lake Church of St. Paul, Ham Lake Church of the Annunciation, Minneapolis Church of the Assumption, St. Paul Church of the Blessed Sacrament, St. Paul Church of the Cross, Hopkins Church of the Epiphany, Plymouth Church of the Open Door, Maple Grove City Church, Minneapolis Colonial Church of Edina Community Covenant Church Congregational Church of Excelsior Conquerors Christian Center Coon Rapids United Methodist Creek Valley Church, Minneapolis Cross of Glory Lutheran Church, Brooklyn Center Crossroads Church Crosswinds United Methodist, Maple Grove Crow River Community Church Crystal Evangelical Free Church Destiny Faith Ministries Eagle Brook Church Ebenezer Comnunity Church Edinbrook Church, Brooklyn Park Emanuel Faith, Newport, RI Emmanuel Christian Center, Spring Lake Park Campus Emmanuel Praise, Brooklyn Center Epiphany, Coon Rapids Eternal Hope Lutheran Church Evangelical Free Church, Plymouth Excelsior Covenant, Excelsior Faith Chapel Faith Healing Ministries International Faith Holiness Church Family of God Lutheran Church, Brooklyn Park Fellowship Missionary Baptist, Minneapolis First Christian Church - Bentonville, AR First Lutheran Church of Crystal MN Gethsemane Lutheran, Hopkins Golden Valley Lutheran Good Samaritin, Edina Good Shepherd Catholic Church, Golden Valley Grace Church, Eden Prairie Grace Fellowship Church, Brooklyn Park Guardian Angels Church, Chaska Hennepin Avenue United Methodist Church Hickory Creek Community Church Hindu Temple, Maple Grove Holy Christian Church Holy Family Catholic Church, St. Louis Park Holy Family Maronite, Mendota Heights Holy Innocents, Neptune NJ Holy Name of Jesus Catholic Church, Wayzata Holy Nativity, New Hope Holy Redeemer, Marshall Holy Rosary Church, Washington, D.C. Holy Trinity, New Prague Holy Trinity, Winsted MN Hope Lutheran Church, Minneapolis Immaculate Conception, Columbia Heights Immaculate Conception, Springfield, MO Immaculate Heart of Mary Catholic Church, Minnetonka Immaculate Heart of Mary Catholic Church, St. Paul Immanuel Lutheran, Eden Prairie Just moved from out of state Kenwood Lutheran Church Kenya Community Seventh Day Adventist Church King of Kings Lutheran Church Korean Presbyterian Church of Minnesota Korean United Methodist Church of MN Light of Christ SDA Church, Plymouth, MN Living Word Christian Center, Brooklyn Park Lord of Life Lutheran, Maple Grove Lutheran Church of the Good Shepard, Mpls Lutheran Laestadian, Plymouth Maple Grove Covenant Maple Grove Evangelical Free Church Maple Grove Lutheran Maranatha Seventh Day Adventist Mary Queen of Peace, Rogers Maternity of Mary, St Paul Mercy Hill Messiah United Methodist, Plymouth Minnetonka Baptist Church Minnetonka Seventh Day Adventist Church Miracle Redemption Christian Center Monticello Covenant Church Mosaic Church, Maple Grove Most Holy Trinity Most Holy Trinity, Veseli Mount Calvary Lutheran Church, Excelsior Mount of Blessings Seventh Day Adventist Church Mount Olivet Lutheran Church, Minneapolis, MN Mount Olivet Lutheran Church, Plymouth Mt. Guangying Buddhism Church/Temple of Kunming Nativity Of Our Lord, St. Paul New Testament, Alexandria NonDenominational Church of Jesus Christ, Fridley, MN None None currently Normandale Lutheran Church, Edina MN North Heights Lutheran Church North Point Church, Coon Rapids North View Baptist Church Northridge Fellowship, Rogers Oak Knoll Lutheran Church, Minnetonka Old Mission School and Church, San Luis Obispo, CA Osseo Church of Nazerene, Osseo Osseo United Methodist Church Our Father's Lutheran Church, Rockford Our Lady of Fatima Catholic Church, Lakewood, Colorado Our Lady of Grace, Edina Our Lady of Lourdes, Mpls Our Lady of the Assumption Our Lady of the Lake, Mound Our Savior Lutheran Church, Ham Lake Our Savior Lutheran, Excelsior Other Parkers Lake Church Parish Community of St. Joseph, New Hope, MN Parroquia Nuestra Señora de Guadalupe, Madrid Passion Church, Maple Grove Pax Christi, Eden Prairie Peace in Christ Lutheran Church, Hermantown MN Peace Lutheran Church, Plymouth Pilgrim Lane United Methodist Church, Plymouth Plymouth Covenant Presentation of the Blessed Virgin Mary, Maplewood Prestonwood Baptist Church Providence Baptist Church, Monrovia, Liberia Redeemer Bible Church Redeemer Lutheran Church, Fridley Redeemer Lutheran Church, Wayzata Resurrection Lutheran Church Ridgewood Church, Minnetonka River Valley Riverside Church, Bloomington Roseville Lutheran Church Sacred Heart, Robbinsdale Salem Lutheran Church Sanctuary Covenant Servant of Christ, Champlin Shepherd of the Lake, Prior Lake Shiloh Temple International Ministries-Pentecostal Southview SDA Speak the Word International, Golden Valley Spirit of Hope United Methodist, Golden Valley Spiritual Life Church St. Agnes, St. Paul St. Albert's Catholic Church, Albertville St. Alphonsus, Brooklyn Center St. Ambrose of Woodbury St. Andrew Catholic Church, St. Paul St. Andrew Lutheran Church, Eden Prairie St. Anne Catholic Church, Hamel St. Augustine's, South St. Paul St. Austin, Minneapolis St. Barnabas Lutheran Church, Plymouth St. Bartholomew Catholic Church, Wayzata St. Bonaventure, Bloomington St. Boniface Catholic Church Minneapolis St. Boniface, St. Paul St. Casimir's Catholic Curch, St. Paul St. Catherine of Siena Riverside, CT St. Catherine of Sienna, Clearwater, Fl St. Charles Borromeo, St. Anthony St. Clare of Assisi, Houston, TX St. Clement's Catholic Church, Minneapolis St. Constantine Catholic, Minneapolis St. Edwards Catholic Church, Bloomington St. Elizabeth Ann Seton St. Francis Cabrini, Minneapolis St. Francis de Sales in St. Paul St. Francis Xavier Catholic, Buffalo St. George Catholic Church, Long Lake St. George's Greek Orthodox Church, St. Paul St. George's Ukrainian Orthodox Church St. Gerard Catholic Church, Brooklyn Center St. Gertrude's Church, Shakopee St. Helena's Catholic Church, Minneapolis St. Henry's Catholic Church, Monticello St. Hubert's Catholic Church, Chanhassen St. Ignatius Catholic Church, Annandale St. Isidore Church, Danville, California St. James (Warren, Rhode Island) St. Jeromes Catholic Church, Maple Grove St. Joan of Arc Catholic Church, Minneapolis St. John Neumann Catholic Church, Eagan St. John the Apostle, Leesburg, VA St. John the Baptist Catholic Church, Dayton St. John the Baptist Catholic Church, Excelsior St. John the Baptist, New Brighton St. John the Evangelist, Hopkins St. John Vianney, South St. Paul St. John's Catholic Church, Hopkins St. Joseph Catholic Community, New Hope St. John's Lutheran Church, Mound St. Joseph Catholic Church, Hopkins St. Joseph Church, Mendham, NJ St. Joseph the Worker Catholic Church, Maple Grove St. Katherine Drexel Catholic Church, Ramsey St. Louis King of France, St. Paul St. Luke Catholic Church, Clearwater St. Madeleine Sophie Catholic Church St. Marks Cathedral, St. Paul St. Martins by the Lake, Minnetonka St. Mary Coptic Othodox Church, South St. Paul St. Mary of the Hills St. Mary of the Lake Catholic Church, Plymouth St. Mary of the Lake, White Bear Lake St. Mary's Greek Orthodox Church, Minneapolis, MN St. Mary's Russian Orthodox Cathedral St. Michael Catholic Church, Prior Lake, MN St. Michael Catholic Church, St. Michael St Michael Lutheran Church, Bloomington St. Odelia's Catholic Church, Shoreview St. Olaf Catholic Church, Minneapolis St. Patrick's Catholic Church, Edina St. Paul Cathedral St. Paul Catholic Church, Ham Lake St. Peter Claver, St. Paul St. Peter's Catholic Church, Delano St. Peter's Lutheran Church, Edina St. Philip the Deacon Lutheran Church, Mpls St. Philip the Deacon Lutheran Church, Plymouth St. Phillips Lutheran Church, Fridley St. Raphael Catholic Church, Crystal St. Raymond Catholic Church, Menlo Park CA St. Rose of Lima, Roseville St. Scholastica Pittsburgh, PA St. Scholastica, Aspinwall, PA St. Stephen Catholic Church, Anoka St. Stephen Catholic Church, Minneapolis St. Therese Catholic Church, Deephaven St. Thomas Aquinas, St. Paul Park St. Thomas the Apostle Catholic Church, Corcoran St. Thomas the Apostle, Minneapolis St. Timothy Catholic Church, Maple Lake St. Timothy's Catholic Church, Blaine St. Timothy, Chantilly, VA St. Victoria, Victoria St. Vincent De Paul, Brooklyn Park, MN St. Wenceslaus, New Prague Sts. Peter and Paul Catholic Church, Loretto Substance Church Tabernacle Faith Chruch Tabernacle Faith Church International Tabernacle Faith Church International St Christophers (Tonawanda, NY) Temple Israel, Minneapolis The Church of Latter-day Saints The Creek Community Church, Maple Grove The Journey at Rush Creek, Corcoran Transfiguration, Oakdale Tree of Life Trinity Lone Oak Trinity Lutheran Church, Long Lake Twin City Chinese Christian Church Unitarian Universalist Church, Wayzata Unity Christ Church, Golden Valley Vertical Church, Maple Grove Waters of Life Wayzata Community Church, Wayzata Wayzata Evangelical Free Church West Metro Chinese Church, Plymouth Westminster Presbyterian Church, Minneapolis Westwood Church, Excelsior Westwood Lutheran Church, St. Louis Park Wooddale Church, Eden Prairie Woodridge Church, Medina Word of Peace Lutheran Church Zion Lutheran Church, Buffalo Parent1/Legal Guardian1 Relationship to Applicant Please select... Father Mother Step-Father Step-Mother Guardian Parent2/Legal Guardian2 Relationship to Applicant Please select... Father Mother Step-Father Step-Mother Guardian Previous School Information School Name School Phone School TypePlease select... Daycare/Childcare Charter School Homeschool International School PK-5 Parochial School PK-8 Parochial School PK-12 Parochial School PK-5 Private School PK-8 Private School PK-12 Private School Pre-Kindergarten Public Elementry Public Middle School Public High School Other Previous School Address Street City StatePlease select... 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Describe the applicant's personality Please list the applicant's extra-curricular activities, and hobbies over the past few years 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 CLICK Parent1/Legal Guardian1 Name TitlePlease select... Miss Mr. Mrs. Ms. Dr. First Last SexPlease select... Male Female Graduation year if a PA Alumna/Alumnus Maiden Name (If Applicable) if a PA Alumna Phone Home Mobile Work Preferred PhonePlease select... Home Mobile Work Email Personal Work Preferred EmailPlease select... Personal Work Is the Household Address the Same or Different?Same AddressDifferent Address Address Address City StatePlease select... 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Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZipCode VO-Tech/College/Universities Attended and Degrees Achieved 2nd Parent/Legal GuardianPlease select... Yes No No - Deceased Parent2/Legal Guardian2 Name TitlePlease select... Miss Mr. Mrs. Ms. Dr. First Last SexPlease select... Male Female Relationship to Parent1/Legal Guardian1Please select... Husband Wife Ex-Spouse Never Married Widow Widower Graduation year if a PA Alumna/Alumnus Maiden Name (If Applicable) if a PA Alumna Phone Home Mobile Work Preferred PhonePlease select... Home Mobile Work Email Personal Work Preferred EmailPlease select... Personal Work Is the Household Address the Same or Different?Same AddressDifferent Address Address Address City StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZipCode Country Business Information Business Organization Type Employer Name Position/Title Employer Address Address City StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZipCode VO-Tech/College/Universities Attended and Degrees Achieved Does the applicant have any sibling(s) who are not current applicants?Please select... Yes No 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 Sibling Address City StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZipCode Country Birth Date SexPlease select... Male Female Current GradePlease select... PK-AM PK-Full Day K-F 01 02 03 04 05 06 07 08 09 10 11 12 None Currently Relationship to ApplicantPlease select... Brother Sister Half-Brother Half-Sister Step-Brother Step-Sister Relationship to Parent1/Legal Guardian1Please select... Daughter Son Step-Daughter Step-Son Ward Relationship to Parent2/Legal Guardian2Please select... Daughter Son Step-Daughter Step-Son Ward To add another sibling select add another response below. 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. reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Save my progress and resume later | Resume a previously saved form Contact Information
