Membership Application Were you a member of Carolina Homeschooler for the 2017-2018 school year?*YesNoFor the 2018-2019 school year: have you registered with, or do you plan to register with, another SC Option 2 or Option 3 homeschool association (other than Carolina Homeschooler), a state-sponsored virtual charter school (K12, Connections, Calvert, etc.), or a private school (in 2018-2019)?*YesNoWhat is the name of the SC Option 2 or 3 homeschool association (other than Carolina Homeschooler), state-sponsored virtual charter school, or private school you are (or will be) registered with for the 2018-2019 school year?*Parent/Guardian (primary instructor):* First Last Parent/Guardian (not the primary instructor): First Last Primary instructor's highest level of education:*SC state law requires the primary instructor to have completed high school or have a GED certificate.General Educational Development (GED) certificateCompleted high schoolCompleted college with an associate's, bachelor's, or higher degreeEmail address of primary instructor:* Enter Email Confirm Email Mailing Address:* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Which school district (not county) do you reside in?*See this directory for a list. Call your local school to verify if you're not certain.Choose districtAbbevilleAikenAllendaleAnderson 1Anderson 2Anderson 3Anderson 4Anderson 5Bamberg 1Bamberg 2Barnwell 19Barnwell 29Barnwell 45BeaufortBerkeleyCalhounCharlestonCherokeeChesterChesterfieldClarendon 1Clarendon 2Clarendon 3ColletonDarlingtonDillon 3Dillon 4Dorchester 2Dorchester 4EdgefieldFairfieldFlorence 1Florence 2Florence 3Florence 4Florence 5GeorgetownGreenvilleGreenwood 50Greenwood 51Greenwood 52Hampton 1Hampton 2HorryJasperKershawLancasterLaurens 55Laurens 56LeeLexington 1Lexington 2Lexington 3Lexington 4Lexington/Richland 5MarionMarlboroMcCormickNewberryOconeeOrangeburg 3Orangeburg 4Orangeburg 5PickensRichland 1Richland 2SaludaSpartanburg 1Spartanburg 2Spartanburg 3Spartanburg 4Spartanburg 5Spartanburg 6Spartanburg 7SumterUnionWilliamsburgYork 1York 2York 3York 4Date you plan to begin homeschooling (must be 6/1/18 or later):* MM DD YYYY NOTE: Children learn 365 days a year, but SC homeschoolers must document 180 of those days. You can count half-days, weekends, summer visits to a museum or historic site, art and music lessons, etc. Learning happens all the time, and all of it counts. If you transfer mid-year from a public or private school, your student's attendance there counts as part of the 180-day total. Your start date must be June 1, 2018 or later. Membership runs from June 1, 2018 to May 31, 2019.How many students (age 5 and up before September 1, 2018) are you enrolling?*List each student's name, grade level (for 2018-2019), and birthdate below:*Please make sure you've entered the grade level and birthdate for each student above.Is the primary instructor the parent or legal guardian of all students listed above?*YesNoIf "no," please explain in an email to email@example.com.Do all the students listed above live in the same house?*YesNoIf "no," please explain in an email to firstname.lastname@example.org.Please describe any special educational needs of your student(s).*(Type "none" if your students have no special needs.)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 with any state or local social service agency.)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, 2018 to May 31, 2019. 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.* 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 will not provide transcripts or guidance for high school students during the 2018-2019 school year. 3. I understand Carolina Homeschooler communicates to members via email for time management and record-keeping purposes, usually within 24-72 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, 2018 and ends on May 31, 2019. I will submit an end-of-year completion form by June 5, 2019 certifying I've met all legal requirements for the 2018-2019 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 non-refundable for any reason. Signature of Primary Instructor:*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 am ready to submit my application.EmailThis field is for validation purposes and should be left unchanged.