Application No Payment - H.O.M.E Classes

Student Information

Have you verified with the school office that there is space available for your student?

Yes

No

Students Name(Required)

First Last

Grade Applying for:

Has the student applying for admissions ever been:

A discipline problem?

Yes

No

Suspended?

Yes

No

Expelled from a school or homeschool program?

Yes

No

Parent Information

Father's Name

First Last

Phone

Email

Mother's Name

First Last

Phone

Email

References

(at least 2 references are required)

Reference 1(Required)

First Last

Phone

Email(Required)

What is your relation to this reference?(Required)

Reference 2(Required)

First Last

Phone

Email(Required)

What is your relation to this reference?(Required)

Documents

Previous School Contact:(Required)

Phone(Required)

Report Card or Transcript & Student Paragraph(Required)

Drop files here or

Max. file size: 2 MB, Max. files: 4.