Application Form

Please complete the following form online, or click to download the form.

Please fill in all information as completely as possible. Incomplete forms will not be accepted.

FAMILY INFORMATION:

Husband Name *

First

Last

Wife Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email Address *

Home Phone

Cell Phone *

How did you hear about Heritage Homeschool Group Co-op? *

STUDENT INFORMATION:

Please list ALL of your minor children, including infants, as well as children who may be in school. Please list their grade they will be entering:

How many minor children do you have?

Selected Value: 1

Name *

Grade *

Age *

Birthdate *

STUDENT INFORMATION CONTINUED:

Allergies

Medical Conditions

Do your children have any special needs that a classroom teacher needs to accommodate in order to facilitate learning? *

BACKGROUND INFORMATION: Please do not leave any questions unanswered.)

Please tell us a little bit about your homeschooling journey. How long have you been homeschooling? Why did you decide to homeschool? What are your goals? Why are you interested in joining a homeschool co-op? Etc. *

Please indicate any or all of the following: educational/career background, hobbies and interests, special classes taken, classes previously taught, subjects you enjoy or might be comfortable teaching. Any of these interests or previous training/experience could provide the skills and knowledge necessary to teach a class. *

Where do you currently attend church and in what capacity, if any, do you serve in your local church? *

Will you be participating in any other Homeschool program and/or co-op during the year you are applying to be a Heritage Homeschool Co-Op member? If so, please list below. *

We understand that we all come from different church backgrounds and have differing homeschool philosophies and we enjoy the diversity this brings to our group, but the one thing that unites our group is each individual’s commitment to a personal relationship with Christ. Briefly share about your relationship with Christ and how this affects your homeschooling journey. *

Waiting List Requirements

If accepted into Heritage Homeschool Co-op, our family agrees that we will:

Strive to promote unity within the Heritage Homeschool Group Co-op
Do our best to preserve the reputation of Heritage Homeschool Group Co-op when participating in community events/activities.
Adhere to the Rules and Guidelines set forth by Heritage Homeschool Group Co-Op, participate to the best of our abilities and actively engage with other co-op families.

I understand that continuation of co-op participation is dependent upon adherence to this code of conduct, statement of faith and that all decisions concerning membership will be decided upon by the leadership team for the benefit of the group at large.

Requirements :

Completion of application, membership is subject to Leadership team approval and current openings.
Signed Statement of Faith
Agree to teach classes, substitute as needed, assist in classes and bring a willingness to serve so that co-op can run smoothly and efficiently. (Exceptions can be made on an as needed basis.)

Parent Signature *

Date *