Admissions: Homeschool Report Card Form

Student Information
Student's Full Legal Name*

First NameLast Name
Student's Full Legal Name
First Name*
Last Name*
Grade Applying For*
Date of Birth*

MonthDayYear
Date
For verification purposes, please provide a document that confirms the student's date of birth.

Example of accepted documents: a religious, hospital, or physician’s certificate showing date of birth; an adoption record; a birth certificate; passport; or state-issued ID.
Cancelof

* Provide the curriculum/textbook name, current/final course grade, percentage of the course completed, dates the course was started and completed.
Example: Curricumulm/Textbook - Saxon Math (1st gr), Final Grade - 85%, (B) or Pass, % Completed - 100%, Start Date - 9/12/2025, End Date - 6/12/2026
Has your student completed any high school courses?

YesNo

Student Activities Summary (recommended)
List 3-5 books that your student has read out loud to others.
List 3-5 books that your student has read on their own.
Any other information you wish to share:
Extracurricular Activities, Field Trips, etc.

Homeschool Report Card Form