SHARE PCS ADMISSIONS APPLICATION






    Is the applicant a former PCS student?


    Gender:




    Has student ever been dismissed or disciplined at any school?

    Does student currently have an IEP or a 504 plan?

    Accepted file types - .doc, .pdf, .txt, .jpg

    Have you previously taken an on-line course:


    Do you have reliable internet connection to use for class work and virtual meetings:*

    We have read and agree to support the PCS Statement of Faith. By typing your name in the fields below you acknowledge this statement to be true.


    Typing name here acts as signature

    Typing name here acts as signature

    Parent/Guardian Information


    Street Address, City, State, Zip



    Street Address, City, State, Zip


    Person Responsible For Bill (If different from parent or guardian listed above)



    Street Address, City, State, Zip