Homeschool Mentorship Program Application

Homeschool Mentorship Program Application
Homeschool Mentorship Program Application
Fill out this form if you are a new homeschooling family and wish to be paired with a homeschool mentor. (By signing this document, you agree to adhere to all standard library policies and procedures.
Receive packet from library (containing records templates, laws, and sample Letter of Intent)Withdraw student from public school (if currently enrolled)Fill out the Letter of Intent to homeschool and submit (mail or hand delivered) it to your school board's Director of Pupil Personnel.Review the law and requirements in your packet
Letter of Intent Date of Submission

MonthDayYear
Date
1. Full Name
2. Address
3. E-Mail Address
4. Phone Number
Format: (000) 000-0000.
5. How would you describe your current level of interest in homeschooling?
YesNo
Faith-based curriculum and homeschooling communitySecular curriculum and homeschooling communityI prefer a combination of secular and faith-based resourcesNo preference
YesNoNo, but I have access elsewhere or will make use of the library.
Fully onlineMostly online, some textbooks/workbooksHalf online, half in textbooks/workbooksSome online, mostly textbooks/workbooksFully textbook/workbookUnsure
Less than 10 Hours10-20 Hours20-30 Hours30-40 Hours>40 Hours (Full-time homeschool instructor)
11. In a few words, please tell us why you decided to homeschool
Highschool diploma or equivalent (i.e. GED)AssociatesBachelors (i.e. BS, BA)Advanced graduate degree (i.e. Masters, Doctorate)
13. How many children do you have and what are their ages?
14. Do you have any children with special needs? (Autism, ADD/ADHD, dyslexia, etc)
15. Do you have anything to add?
16. Sign & Date

Clear
Should be Empty: