Highland RIM Christian Homeschool Co-op
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Thank you for your interest in joining HCHC. If you'd like to be placed on our application list, please fill out your info below. We will contact you when we open enrollment to let you know the status of your application.
Thank you and Blessings!
(Please note that the
*
symbol,
in the form below, indicates that a response is required in order for the form to be submitted successfully)
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Today's date
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Parent Name
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First
Last
Spouse's Name
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First
Last
Email
*
Phone Number
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Address
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Line 1
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City
State
Zip Code
Country
Please provide your children's names, ages, and current grade level.
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How many years have you homeschooled?
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0
1
2
3
4
5
6
7
8
9
10+
Please click on the dropdown box and select the number by double clicking.
Have you been part of a co-op in the past?
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Yes
No
If Yes, please provide the co-op name and dates you attended.
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Have any of your family members had any discipline issues in the past 3 years in school or co-op?
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Yes
No
If yes, please describe.
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For example, being asked to leave class, probation, or dismissal.
Church Affiliation:
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Comments:
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