Membership Application "*" indicates required fields IMPORTANT: Your membership verification letter will be generated from the information you enter – name, address, school district, start date, and student names. Please confirm your information is correct before submitting your application.Parent/Guardian (primary instructor):* First Last Email address of primary instructor:*Please use lowercase for all letters. Enter Email Confirm Email Cell Phone*You may receive infrequent texts about important deadlines, events, and upcoming field trips. You can opt out at any time.Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Which school district (not county) do you reside in?*Call your local school to verify if you’re not certain of the district you reside in.AbbevilleAikenAllendaleAnderson 1Anderson 2Anderson 3Anderson 4Anderson 5BambergBarnwell 19 & 29 (Consolidated)Barnwell 45BeaufortBerkeleyCalhounCharlestonCherokeeChesterChesterfieldClarendonColletonDarlingtonDillon 3Dillon 4Dorchester 2Dorchester 4EdgefieldFairfieldFlorence 1Florence 2Florence 3Florence 4Florence 5GeorgetownGreenvilleGreenwood 50Greenwood 51Greenwood 52HamptonHorryJasperKershawLancasterLaurens 55Laurens 56LeeLexington 1Lexington 2Lexington 3Lexington 4Lexington/Richland 5MarionMarlboroMcCormickNewberryOconeeOrangeburgPickensRichland 1Richland 2SaludaSpartanburg 1Spartanburg 2Spartanburg 3Spartanburg 4Spartanburg 5Spartanburg 6Spartanburg 7SumterUnionWilliamsburgYork 1York 2York 3York 4Start Date (must be JUNE 1, 2024 or later)* Month Day Year IMPORTANT: This is the date you will begin homeschooling. It MUST BE June 1, 2024 or later. This date will be printed on your membership letter and can’t be changed later.Student InformationList each student’s name, birthdate, and grade level for the UPCOMING year (2024-2025) below. Students must be at least 5 years old before September 1, 2024 to be registered with Carolina Homeschooler. If your student will get a beginner driver’s permit or driver’s license this year, please include full legal name (including middle name). The DMV will need this due to REAL ID requirements.Student 1 Name (First Middle Last)* Student 1 Birthdate* Month Day Year Student 1 Grade Level* Student 2 Name (First Middle Last) Student 2 Birthdate Month Day Year Student 2 Grade Level Student 3 Name (First Middle Last) Student 3 Birthdate Month Day Year Student 3 Grade Level Student 4 Name (First Middle Last) Student 4 Birthdate Month Day Year Student 4 Grade Level Student 5 Name (First Middle Last) Student 5 Birthdate Month Day Year Student 5 Grade Level Student 6 Name (First Middle Last) Student 6 Birthdate Month Day Year Student 6 Grade Level More students?Have more students? Please list their names (First Middle Last), birthdates, and grade levels here.Required Legal InformationPlease complete all required fields below.For the school year beginning June 1, 2024 or later, have you registered with (or plan to register with) another SC Option 2 or Option 3 homeschool association (other than Carolina Homeschooler), and/or a SC public school, a public virtual charter school (like SCVCS, K12, Connections Academy, Calvert, etc.), and/or a private school?* Yes No Other than Carolina Homeschooler, what is the name of the SC Option 2 or 3 homeschool association, state-sponsored virtual charter school, or private school you are (or will be) registered with for the UPCOMING (2024-2025) school year?* Primary Instructor's Education Level*SC state law requires the primary instructor to have completed high school or have a GED certificate. General Education Development (GED) Certificate Completed High School Completed College (Associate Degree or higher) Parent or Legal Guardian?*Is the primary instructor the parent or legal guardian of all students listed in this application? If “no,” please email director@carolinahomeschooler.com within 24 hours after submitting this application to explain your circumstances. Yes No Same Household?*Do all students listed in this application live in the same house? If “no,” please email director@carolinahomeschooler.com within 24 hours after submitting this application to explain your circumstances. Yes No Outside Agency Involvement?*If you’ve had any contact with the Department of Social Services, Department of Juvenile Justice, or other state or local agencies, please describe the circumstances below. (Type “none” if you’ve had no contact.)Special Needs? (Optional)If you want to inform Carolina Homeschooler of any special educational needs, please describe them here. (This is optional.)The primary instructor agrees to the following five requirements mandated by Section 59-65-47 of the SC Code of Laws:*Please check the box in the section below to confirm you’ve read, understand, and agree with all five items. 1. Document at least 180 days of attendance from June 1, 2024 to May 31, 2025. 2. Provide instruction in the areas of reading/literature, writing/composition, mathematics, science, and social studies. 3. Maintain a plan book, diary, or other record of instruction and activities for each student. 4. Keep a portfolio of samples of each student’s academic work. 5. Maintain semiannual progress reports documenting attendance and student progress in each required academic area. Please check the box in the section below to confirm you've read, understand, and agree with each item. (The checkbox may be a tiny box in the middle of the column, depending on your device.)* 1. Section 59-65-47 mandates that parents/guardians maintain the required academic records. However, I understand Carolina Homeschooler reserves the right to request copies of my records if an audit is required by any state agency. I will mail my records to Carolina Homeschooler within three days of receiving a request for records. 2. I understand Carolina Homeschooler does not provide transcripts or high school/college guidance for member students. 3. I understand Carolina Homeschooler communicates to members via email for time management and record-keeping purposes, and usually replies to emails within 24 hours. 4. I will inform Carolina Homeschooler of any changes in my contact information (email, phone, and address), and homeschool status during the school year. 5. I will inform Carolina Homeschooler by email within 24 hours if I am contacted by any state or local agency about my homeschool. 6. My membership begins on June 1, 2024 and ends on May 31, 2025. I will submit an end-of-year completion form by June 5, 2025 certifying I’ve met all legal requirements for the 2024-2025 school year. 7. Carolina Homeschooler reserves the right to revoke membership of families who do not adhere to stated requirements and/or the mandates of Section 59-65-47 of the SC Code of Laws. 8. Membership fees are not refundable for any reason. Payment InformationYou’re almost finished… just a few more things!Membership Fees*These fees reflect the $15 early registration discount for applications submitted through May 31, 2024. 1 Student – $60 2 Students – $85 3 Students – $110 4 Students or more – $135 Total due:Your credit/debit card will be charged when you submit this form. Credit Card*Payment is due upon submission. Your payment will be reversed/returned if your application is not accepted.Card Details Cardholder Name Submit Application:* By electronically signing and submitting this application, I acknowledge I’ve reviewed my application and the information I’ve provided is accurate and complete. I agree to the terms described above and understand my membership fee is non-refundable. PhoneThis field is for validation purposes and should be left unchanged. "*" indicates required fields IMPORTANT: Your membership verification letter will be generated from the information you enter – name, address, school district, start date, and student names. Please confirm your information is correct before submitting your application.Parent/Guardian (primary instructor):* First Last Email address of primary instructor:*Please use lowercase for all letters. Enter Email Confirm Email Cell Phone*You may receive infrequent texts about important deadlines, events, and upcoming field trips. You can opt out at any time.Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Which school district (not county) do you reside in?*Call your local school to verify if you’re not certain of the district you reside in.AbbevilleAikenAllendaleAnderson 1Anderson 2Anderson 3Anderson 4Anderson 5BambergBarnwell 19 & 29 (Consolidated)Barnwell 45BeaufortBerkeleyCalhounCharlestonCherokeeChesterChesterfieldClarendonColletonDarlingtonDillon 3Dillon 4Dorchester 2Dorchester 4EdgefieldFairfieldFlorence 1Florence 2Florence 3Florence 4Florence 5GeorgetownGreenvilleGreenwood 50Greenwood 51Greenwood 52HamptonHorryJasperKershawLancasterLaurens 55Laurens 56LeeLexington 1Lexington 2Lexington 3Lexington 4Lexington/Richland 5MarionMarlboroMcCormickNewberryOconeeOrangeburgPickensRichland 1Richland 2SaludaSpartanburg 1Spartanburg 2Spartanburg 3Spartanburg 4Spartanburg 5Spartanburg 6Spartanburg 7SumterUnionWilliamsburgYork 1York 2York 3York 4Start Date (must be JUNE 1, 2024 or later)* Month Day Year IMPORTANT: This is the date you will begin homeschooling. It MUST BE June 1, 2024 or later. This date will be printed on your membership letter and can’t be changed later.Student InformationList each student’s name, birthdate, and grade level for the UPCOMING year (2024-2025) below. Students must be at least 5 years old before September 1, 2024 to be registered with Carolina Homeschooler. If your student will get a beginner driver’s permit or driver’s license this year, please include full legal name (including middle name). The DMV will need this due to REAL ID requirements.Student 1 Name (First Middle Last)* Student 1 Birthdate* Month Day Year Student 1 Grade Level* Student 2 Name (First Middle Last) Student 2 Birthdate Month Day Year Student 2 Grade Level Student 3 Name (First Middle Last) Student 3 Birthdate Month Day Year Student 3 Grade Level Student 4 Name (First Middle Last) Student 4 Birthdate Month Day Year Student 4 Grade Level Student 5 Name (First Middle Last) Student 5 Birthdate Month Day Year Student 5 Grade Level Student 6 Name (First Middle Last) Student 6 Birthdate Month Day Year Student 6 Grade Level More students?Have more students? Please list their names (First Middle Last), birthdates, and grade levels here.Required Legal InformationPlease complete all required fields below.For the school year beginning June 1, 2024 or later, have you registered with (or plan to register with) another SC Option 2 or Option 3 homeschool association (other than Carolina Homeschooler), and/or a SC public school, a public virtual charter school (like SCVCS, K12, Connections Academy, Calvert, etc.), and/or a private school?* Yes No Other than Carolina Homeschooler, what is the name of the SC Option 2 or 3 homeschool association, state-sponsored virtual charter school, or private school you are (or will be) registered with for the UPCOMING (2024-2025) school year?* Primary Instructor's Education Level*SC state law requires the primary instructor to have completed high school or have a GED certificate. General Education Development (GED) Certificate Completed High School Completed College (Associate Degree or higher) Parent or Legal Guardian?*Is the primary instructor the parent or legal guardian of all students listed in this application? If “no,” please email director@carolinahomeschooler.com within 24 hours after submitting this application to explain your circumstances. Yes No Same Household?*Do all students listed in this application live in the same house? If “no,” please email director@carolinahomeschooler.com within 24 hours after submitting this application to explain your circumstances. Yes No Outside Agency Involvement?*If you’ve had any contact with the Department of Social Services, Department of Juvenile Justice, or other state or local agencies, please describe the circumstances below. (Type “none” if you’ve had no contact.)Special Needs? (Optional)If you want to inform Carolina Homeschooler of any special educational needs, please describe them here. (This is optional.)The primary instructor agrees to the following five requirements mandated by Section 59-65-47 of the SC Code of Laws:*Please check the box in the section below to confirm you’ve read, understand, and agree with all five items. 1. Document at least 180 days of attendance from June 1, 2024 to May 31, 2025. 2. Provide instruction in the areas of reading/literature, writing/composition, mathematics, science, and social studies. 3. Maintain a plan book, diary, or other record of instruction and activities for each student. 4. Keep a portfolio of samples of each student’s academic work. 5. Maintain semiannual progress reports documenting attendance and student progress in each required academic area. Please check the box in the section below to confirm you've read, understand, and agree with each item. (The checkbox may be a tiny box in the middle of the column, depending on your device.)* 1. Section 59-65-47 mandates that parents/guardians maintain the required academic records. However, I understand Carolina Homeschooler reserves the right to request copies of my records if an audit is required by any state agency. I will mail my records to Carolina Homeschooler within three days of receiving a request for records. 2. I understand Carolina Homeschooler does not provide transcripts or high school/college guidance for member students. 3. I understand Carolina Homeschooler communicates to members via email for time management and record-keeping purposes, and usually replies to emails within 24 hours. 4. I will inform Carolina Homeschooler of any changes in my contact information (email, phone, and address), and homeschool status during the school year. 5. I will inform Carolina Homeschooler by email within 24 hours if I am contacted by any state or local agency about my homeschool. 6. My membership begins on June 1, 2024 and ends on May 31, 2025. I will submit an end-of-year completion form by June 5, 2025 certifying I’ve met all legal requirements for the 2024-2025 school year. 7. Carolina Homeschooler reserves the right to revoke membership of families who do not adhere to stated requirements and/or the mandates of Section 59-65-47 of the SC Code of Laws. 8. Membership fees are not refundable for any reason. Payment InformationYou’re almost finished… just a few more things!Membership Fees*These fees reflect the $15 early registration discount for applications submitted through May 31, 2024. 1 Student – $60 2 Students – $85 3 Students – $110 4 Students or more – $135 Total due:Your credit/debit card will be charged when you submit this form. Credit Card*Payment is due upon submission. Your payment will be reversed/returned if your application is not accepted.Card Details Cardholder Name Submit Application:* By electronically signing and submitting this application, I acknowledge I’ve reviewed my application and the information I’ve provided is accurate and complete. I agree to the terms described above and understand my membership fee is non-refundable. PhoneThis field is for validation purposes and should be left unchanged.