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Heritage Christian School A Ministry of First Baptist Tillmans Corner Heritage Christian School A Ministry of First Baptist Tillmans Corner Heritage Christian School Calendar Heritage Christian School A Ministry of First Baptist Tillmans Corner Heritage Christian School A Ministry of First Baptist Tillmans Corner Heritage Christian School A Ministry of First Baptist Tillmans Corner
 

Interview Application

indicates a required answer

1. *

Father's Last Name:
2. *

Father's First Name and Middle Initial:
3. *

Father's Cell Phone:
4. *

Father's Email Address:
5. *

Mother's Last Name (if same as Father's put same)
6. *

Mother's First Name and Middle Initial:
7. *

Mother's Cell Phone:
8. *

Mother's Email Address:
9. *

Marital Status:
Married Divorced
Single
10. *

If Divorced who has Custody of Children enrolled in Heritage Christian School?
Mother Father
Other N/A

Please provide a copy of the Order of Custody to the Administrator to keep on file.
11. *

Who will be the Primary instructor in your home?
Mother Father
Other
12. 

If the answer to the previous question was other, please explain here.

Employment Information
13. *

If the person responsible for the childs instruction has a job, please explain below how you plan to operate your home school around your work schedule.
14. *

Student Information

List all school age children you would like to homeschool

StudentsFull Name       Date of birth      Grade Entering      

Educational Philosophy
15. *

Why do you want to educate your child(ren) at home?
16. *

Who or what inspired you to undertake homeschooling?
17. *

Have you ever been under another church school covering?
Yes No
18. 

If yes, what were your reasons for leaving?

Legal Questions
19. *

Has any legal action been threatened or brought against your home school group or anyone associated with it concerning its operation?
Yes No
20. 

If yes, describe in detail the nature of the threat or legal action here.
21. *

Have you ever been involved in any legal action relating to the child(ren)’s schooling?
Yes No
22. *

Do you anticipate or know of threats of any action?
Yes No
23. 

If you answered yes. please explain here:
24. *

Have you ever been investigated for or charged with child abuse or neglect or any other related charges?
Yes No
25. 

If you answered yes, please explain:
26. *

Are you a member of Home School Legal Defense?

(Proof is required with this application)
Yes No

This Ministry of First Baptist Church Tillman’s Corner is designed to support Christian parents who feel the need to educate their children at home. The church accepts no liability. Information on this application will be kept confidential.
27. *

Parents/Guardian Agreement

          We / I understand and agree that we / I are the person(s) ultimately responsible for the education of our / my child(ren).  In keeping with this, we / I agree to exercise diligence in following the guidelines and requirements of Heritage Christian School.
I Agree I do not Agree
28. *

Please enter your name and email address below.

(by entering your name and email address below you are signing this document. You have completed all questions honestly and to the best of your ability
29. *

Date:
30. *

What is the best phone number and best time to reach you to set up your interview?

Items needed before for the initial interview:

* Latest report card and any standardized testing documents

* Birth certificate of students applying for admission.

* If there are any special cases such as custody issues etc. please bring a copy of any court forms to be reviewed at the interview and to be placed on file if accepted for admission.

We thank you for your interest in Heritage Christian School and look forward to meeting you soon.

Sincerely,

Heritage Christian School Administrators and Board Members