* indicates a required answer.

As of January 1, 2013, anyone wishing to join needs to first fill out this questionnaire.  Please answer each question.

1. *

Please list your name, address, home phone, cell phone, and e-mail address.  Please double check your e-mail address to be sure you typed it correctly.


Please mark the grade level(s) of the child(ren) you will be homeschooling.

 (1 required)
Toddler Preschool
K or 1st 2nd or 3rd
4th, 5th, or 6th 7th or 8th
9th to 12th
3. *

How did you find out about the CHECCS group? (If a person, please tell who.)

4. *

How long have you been homeschooling?

5. *

What led you to homeschooling? (Please be detailed.)

6. *

What style(s) of homeschooling do you use/think you will use? (textbooks, unit studies, Charlotte Mason, literature-based, on-line public school, DVD-driven, unschooling, etc.)

7. *

What curriculum do you use/plan to use?  (Please be specific/give details.)

8. *

What church do you and your family attend?  (Please give the name and complete address of the church.  If you've been attending less than a year, please include the same information for the church you previously attended.)

9. *

How long you have you been attending this church?  (If less than a year, please tell how long you attended your previous church.)

10. *

In what ways are you and your family active in your church?  In other words, what activities do you and your family participate in on a regular basis?  This is what you "take" from your church.  An example would be "My entire family attends Sunday school each week" or "I attend the weekly Ladies Bible Study."  (Please be specific and detailed.)

11. *

In what ways do you and your family help in your church?  In other words, what ministries and ways do you and your family volunteer to help with on a regular basis.  This is what you "give back" to your church.  Examples would be "I teach Sunday School.  My husband is an elder.  My teen assists the preschool teacher in Jr. Church each week."  (Please be specific and detailed.)

12. *

What ideas, abilities, and services do you envision bringing to the group?  (Please be specific and detailed.)

13. *

What do you envision getting from the group? (Please be specific and detailed.)


14. *

Please enter your e-mail again:


Please use this space for any other information you feel we should know or would like to further explain.  (An answer here is not required.)

The CHECCS group is limited in size.  If the group does not have any openings when you contact us, you may contact the Administrator up to twice each year to see if there are any openings.  (Suggested times to do this would be around April 15 to May 1 and November 1 to December 31.) 


If you have questions, please e-mail the CHECCS Administrator:

            checcs "at" DustBunniesAndBooks "dot" com