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Co-op Application

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Please read our FAQs before submitting an application to be sure that you are informed about the requirements for membership. Your application will not be complete until you pay the $25 non-refundable application fee. Instructions for payment will appear on the next screen. Also, please note that we may run background checks on applicants.


for admin use only:
__ application fee    __ joining    __ joined website    __ registration fee and class choices


 

1. *

Parent name(s)

2. *

Address

3. *

City / State / Zip

4. *

Phone numbers

5. *

Email address

6. *

How long have you been homeschooling?

7. *

How did you hear about the co-op? List the names of any members that you know.

8. 

List other homeschool programs you plan to be involved in during the upcoming school year.

9. *

List your children who would attend co-op by names, birth dates, and ages.

10. *

List any special needs or delays any of your children have (e.g., Down's syndrome, autism spectrum, sensory issues, learning disabilities, dyslexia, attention, behavioral, or social issues, speech/language deficits, hyperactivity, other).  This information will be kept confidential.

11. 

If your children are currently attending or have attended school in the past, describe the circumstances of their leaving school. Include any disciplinary actions they experienced at school.

12. *

Thoroughly list the areas in which you are able to contribute to the co-op, including classes you are willing to teach.

13. 

List any additional information that would be relevant to the co-op's consideration of your application.

14. *

By checking the box below, I attest that all statements made on this application are accurate and complete. I understand that submitting false statements or withholding relevant information will result in the denial or dismissal of my membership. I also understand that if I accept a membership offer, I am making a commitment to the co-op for the entire school year.

 (1 required)
I attest