Olivet Private School, Inc. 568 SE Port St. Lucie Blvd. Port St. Lucie, FL 34984 Phone: 772-879-9707 Fax: 772-897-9891 Cathie Mouring, School Administrator www.olivetprivateschool.4t.com Application for Enrollment As a private Christian school composed of parent-educators, we desire excellence in our students. This requires the diligence and consistency of dedicated parents. If you plan to enroll a high school student, please review the High School Contract located on our website. Please include a non-refundable application fee of $20 when you mail your application; you will not be considered for enrollment until this fee is received. Make check payable to Olivet Private School and mail to the address above. Please print. Parent’s names: Father: Mother: Home: Cell: Address: Email address: Phone numbers: Were any of your children enrolled with Olivet in the past? YES NO If yes, please include the following information: Student name: How long was student enrolled and why was he / she withdrawn: Please list full name, date of birth and current grade level for each child you wish to enroll in Olivet. Student name(s): Date of birth: Grade entering: School transferring from: Please include the following information: Husband’s employment: Educational background: Wife’s employment: Educational background: What church do you currently attend? What is your involvement in your church and community? What hobbies or special interests does your family enjoy together? Please note Olivet Private School, Inc. is unable to accommodate students with learning disabilities; we therefore regret that we are unable to enroll any child having said disabilities. Have any of the students listed on this application for admission been diagnosed with a learning or behavioral disability? YES NO If yes, please explain and be specific: (use back of page to add information if needed) For the student(s) seeking enrollment with Olivet Private School, please list the previous school(s) attended, the complete address of the school(s) and the dates attended. (Use back of page for additional space.) Student name: Previous school’s name and address: Grade and dates attended: Are the enrolled student(s) able to work on grade level and actively participate within their own age group? YES NO If no, please explain thoroughly and be specific: Because Olivet Private School is a private Christian school, each enrolled family must meet certain requirements set by the Olivet Board. This is NOT the easiest way to homeschool your children and we recognize that not everyone belongs in this setting. The following questions will indicate your willingness to comply with these requirements; failure to do so is cause for dismissal with no refund of tuition. Do you agree to have your child(ren) take the Iowa Test of Basic Skills, or other achievement test approved by the Board, as required by the school (3rd-12th only)? YES NO Will you regularly participate in school activities and/or school sponsored activities each school year? YES NO Do you agree to assume responsibility for at least two jobs/fieldtrips/activities each school year? YES NO Do you agree to pay tuition for each child by the due date(s) set forth by the treasurer? *Please note you will incur late fees if not done so. YES NO Do you agree to fill out and send in, on time, attendance reports (K-12th) and progress reports (8th -12th) for each enrolled child? * Please note, you will incur late fees if reports are not turned in on time YES NO Do you agree to abide by the Dress and Conduct Codes at all school related functions? YES NO Will you seek to ensure that you and your child(ren) act in a Christ-like manner at all school functions and in all your dealings with other Olivet Private School families? YES NO Please explain why you desire to educate your child(ren) at home, and why you are specifically interested in Olivet Private School. Notice of Nondiscriminatory Policy as to Member Families Olivet Private School, Inc., admits students and approves for membership parents of any race, color, national or ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school or members of the school. Olivet Private School, Inc., does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admittance to membership, admission policies, scholarship and loan programs, athletic programs, or other school-administered programs. From the Bylaws of Olivet Private School, Inc. Article 5 5.1 OBJECTS AND AIMS: This corporation is organized exclusively for educational purposes which include, but are not limited to, establishment and operation of an independent private system of elementary and secondary schools with an emphasis on home study courses within which members, approved by the corporation, may teach their own or other children over whom the members have lawful authority, principles and knowledge necessary to prepare them for life, both temporal and eternal. The member, as teacher, with the support of the corporation, shall provide the opportunity for their children to receive a basic education and to learn good study habits, the ability and desire to continue the learning process after school, and appreciation for the physical labor, strong moral character, and healthy fear of God, the proper respect for authority, and preparation for future responsibility at home, in their church, and in the community around them. 5.2 APPROVAL AS TEACHERS: All members desiring to teach shall be approved by the corporation before he or she may teach his or her children under the auspices of the corporation. Approval shall not be based upon the member’s race, color, national or ethnic origin but approval may be denied based upon other factors including but not limited to the member’s religious and moral convictions or lack thereof. Upon the approval by the Board of Directors, the member shall be required to sign a release from liability in favor of the corporation and its directors and officers. STATEMENT OF FAITH We believe the Bible to be the only infallible, authoritative Word of God. We believe that there is only one God, eternally existent in three persons: Father, Son, and Holy Spirit. We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death, through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return to power and glory. We believe that for the salvation of lost and sinful man, regeneration by the Holy Spirit is absolutely essential. We believe in the present ministry of the Holy Spirit, by whose indwelling the Christian is enabled to live a godly life. We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation. We believe in the spiritual unity of believers in our Lord Jesus Christ. Reprinted from “Focus on the Family---Our Faith Values, Mission, & Guided Principles” In addition to the above statements of our faith, we do attest that we, parent(s) and children, regularly attend a local church assembly that adheres to the teachings in this Statement ((Hebrews 10:25). By our signatures below we state that we do understand and are in full agreement with the Statement of Faith of Olivet Private School, Inc., as well as all other commitments and information given in this application. _________________________________________ Husband Signature ____________________________ Date _________________________________________ Wife Signature ____________________________ Date Please return the completed application and the $20 application fee attention: Secretary, Olivet Private School, 568 SE Port St. Lucie Blvd., Port St. Lucie, Florida, 34984-5237. Upon receipt of application, you will be scheduled for a family interview with the OPS Board of Directors prior to acceptance. May God bless you as you seek to honor Him in the education of your children. For office use only App. Date: Welcome Ltr.: Int. Date: Revised 5/10 Check #: Amount Received:
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