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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