TIMOTHYCHRISTIAN SCHOOL

INDIVIDUAL STUDENT REQUEST FOR LOAN OF TEXTBOOKS

Date: ________

Public School District __________________________ (Insert name of your local district)

Address: __________________________

__________________________

Non Public School: Timothy Christian School2008 Ethel RoadPiscataway, NJ 08854

Name of Student: __________________________

Grade: Yr 2019/2020 _________

Name of Parent: __________________________

Under the provisions of N.J.S.A. 18A:58-37.1 et seq., I hereby request the

______________________________ ( Public School District Above) to loan textbooks to the Timothy Christian School in which my child is enrolled. I certify that my above named child and I are residents of the State of New Jersey. I understand that the board of education of the public school district in which the nonpublic school is located with state funding is responsible for providing the loan of textbooks to nonpublic school students pursuant to law and regulations.

Signature of Parent/Guardian: _________________________

Date: _________________________

2008 Ethel Road Piscataway NJ 08854 732-985-0300 TimothyChristian.org“Study to show thyself approved unto God, a workman that needeth not to be ashamed, rightly dividing the word of truth.”

2Timothy 2:15