School Registration

School Registration
Poinciana Sprewell School of the Prophets
Additional documents for registration

• Original Certified Birth Certificate
• Original Social Security Card
• Previous Diploma or Degrees ( transcripts if applicable)
• Current Proofs of Residence (ex. power, water, phone, gas bil, or Internet)
• Work and Ministry experience / Resume

150 Word Count Summary as to why you want to be a part of Poinciana Sprewell School of the Prophets.

ALL DOCUMENTS, AND SUMMARY HAVE TO BE SUBMITTED NO LATER THAN 2 WEEKS OF THE DATE OF INITIAL APPLICATION.

MUST BE 18 YEARS OLD

MUST AGREE WITH STATEMENT OF FAITH
Student Information
Name

First NameLast Name
M.I.
Birth Date

MonthDayYear
Gender
Ethnicity
Email Address
Entry Year
Grade
Semester
Have you previously applied to or attended this school?

YesNo
If yes, what year?
Current Residence Information
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Primary Residence Information (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Residence Information (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact 1
Name

First NameLast Name
Phone Number

Area CodePhone Number
Emergency Contact 2
Name

First NameLast Name
Phone Number

Area CodePhone Number
Physician and Medical Information
Name

First NameLast Name
Phone Number

Area CodePhone Number
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns.

Previous School 1
School Name
City
State
Date Started

MonthDayYear
Date Ended

MonthDayYear
Previous School 2
School Name
City
State
Date Started

MonthDayYear
Date Ended

MonthDayYear
Previous School 3
School Name
City
State
Date Started

MonthDayYear
Date Ended

MonthDayYear
150 word summary (reason for attending this institution maybe submitted below
Please inform the office of any other vital information you think they may need to know in the event of an emergency. Thank you.
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