Phone * State of residence * Will you be the main homeschooling adult? * Select one Yes No Do you work? * Select one Yes, full time outside the home Yes, full time from the home Yes, part time outside the home Yes, part time from the home No Other adult(s) in the home Will other adults in the home be involved in homeschooling as well? Select one All would be involved on a daily/weekly basis. Some would be involved on a daily/weekly basis. All would occasionally be involved. Some would occasionally be involved. None would be involved. Student Name * Age * Student Name Age Student Name Age Student Name Age Child(ren)'s previous educational experience *
Please use this space to give us a GENERAL idea of what your child(ren)'s education has been like up to this point. For example, public or private school, good or bad experience, likes or dislikes school, etc.
Reason(s) For Homeschooling: * What questions do you have about homeschooling? (Enter N/A if none) * What concerns/fears/worries do you have about homeschooling? (Enter N/A if none) * What unique circumstances and/or obstacles (if any) apply to your family? (For example: frequent short-term travel, frequent relocation, health issues, single parent, unique work schedule, learning disabilities, etc.) (Enter N/A if none) * How long do you plan to homeschool? * Select one Through the end of high school Through the end of middle school Through the end of elementary school For just a short period of time (1-3 years) I don't know yet It depends on how things go