The Paracletus School (TPS)                          Enrollment Application 
The Paracletus School is a unique collaborative education program for families of children with special needs. We offer a multi-sensory, Christian-based, classical curriculum that is accessible for diverse learners.  Students and teachers gather thrice-weekly for all course instruction, and lessons and studying are completed during the remainder of the week at home. In addition, to presenting a rich educational experience, we seek to foster a sense of community among students and families who value a classical, Christian education for students of varying abilities. 

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Email *
Address *
Phone number (s) *
Martial Status *
Mother's First and Last Name *
Mother's Phone Number  *
Mother's Email *
Mother's Employer and Position *
Mother's Highest Degree and Area of Education *
Mother's Schools Attended *
Father's First and Last Name *
Father's Phone Number  *
Father's Highest Degree & Area of Education *
Father's Schools Attended *
Martial Status *
Required
Complete Address *
Children in Household
ex: 3
 *
Applying for Year *
How did you learn about "The Paracletus School"?: *
Do you know any current PCLS families or staff members? *
If yes, please list them here: *
Why do you desire a Classical Christian Education for your child/children? *
What have you learned about PCLS specifically that inspired you to apply? *
Where does your family worship? *
What other programs (schools, online services, co-ops) have been a part of your child's education journey? Please detail below: *
Students Applying for Admission
Name:
Date of Birth:
Current School:
Current Grade Level:

 *
Do they have a determined disability? List and date (MM/YY) of disability.  *
Do they have psycho-educational testing within the last 2 years?  If so, from where: *
Students Applying for Admission
Name:
Date of Birth:
Current School:
Current Grade Level:

Do they have a determined disability? List and date (MM/YY) of disability. 
Do they have psycho-educational testing within the last 2 years?  If so, from where:
Students Applying for Admission
Name:
Date of Birth:
Current School:
Current Grade Level:

Do they have a determined disability? List and date (MM/YY) of disability. 
Do they have psycho-educational testing within the last 2 years?  If so, from where:
Students Applying for Admission
Name:
Date of Birth:
Current School:
Current Grade Level:

Do they have a determined disability? List and date (MM/YY) of disability. 
Do they have psycho-educational testing within the last 2 years?  If so, from where:
Students Applying for Admission
Name:
Date of Birth:
Current School:
Current Grade Level:

Do they have a determined disability? List and date (MM/YY) of disability. 
Do they have psycho-educational testing within the last 2 years?  If so, from where:
Students Applying for Admission
Name:
Date of Birth:
Current School:
Current Grade Level:

Do they have a determined disability? List and date (MM/YY) of disability. 
Do they have psycho-educational testing within the last 2 years?  If so, from where:
Describe each applicant’s extracurricular interests and/or achievements:
Additional documentation/information my be requested as a part of the admissions process. 
Type Initials *
Application fee $150.00- Please insert a great phone number to contact for payment *
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