Renewal Membership Application for Academic School Year 2005- 2006
New Beginnings Home School Association
975 Bacons Bridge Road Unit #148
Summerville, SC 29485-4189
Phone #: (843) 851-9832 x09
Fax #: (843) 851-9832 -You must call before faxing!

*School / Family Information:

Member Name*_____________________________________________________________

Member Number*____________________________________________________________

Home School Name*__________________________________________________________

Address*___________________________________________________________________

Mailing Address _____________________________________________________________

Phone Number*( __ __ __) __ __ __ - __ __ __ __ 

Alternate Phone Number ( __ __ __) __ __ __ - __ __ __ __

Your Email Address  ____________________________

*Which public school district do you live in ?*

_________________________________________________________________
                               (Include county and district number)

*Student’s Information:

Please list here all children in your household being home schooled. 

Child’s Full Name DOB Grade
     
     
     
     
     
     

Initial required on each line, which confirms you have read and agree to each term herein.

_____I/We, the undersigned, agree to the following terms of membership set forth by South Carolina Code of Law Section 59-65-47 and those of New Beginnings Home School Association; and

_____I/We the Parent / Legal Guardian / Foster Parent and the only approved Teacher for all mandated subjects, and (who is/are the legal guardian (s), hold a High School Diploma or GED; and

_____I/We the Parent / Legal Guardian / Foster Parent and the only approved Teacher for all mandated subjects, and (who is/are the legal  guardian (s), agree to teach 180 days within New Beginnings Home School Association's 365-day enrollment school year. (Be able to obtain 180 days from August 01 through July 31); and

_____I/We the Parent / Legal Guardian / Foster Parent and the only approved Teacher for all mandated subjects, and (who is/are the legal  guardian (s), agree to plan an appropriate course of study for each student in the core subjects of reading, writing, mathematics, science, and social studies, and in grades seven through twelve, composition and literature; and

_____I/We the Parent / Legal Guardian / Foster Parent and the only approved Teacher for all mandated subjects, and (who is/are the legal  guardian (s), agree to maintain educational records including:

   1 - A plan book, diary, or other record indicating subjects taught and activities engaged in; and

   2 - A portfolio of samples of the student's academic work; and

  3 -  A semiannual progress report including attendance records and individualize documentation of the student's academic progress in each of the basic instructional areas specified above; and

_____I/We the Parent / Legal Guardian / Foster Parent and the only approved Teacher for all mandated subjects, and (who is/are the legal guardian (s), agree to mail to New Beginnings Home School Association the Statement of Compliance form on or before the last day of July. (Members will need to complete, sign and mail or fax to New Beginnings Home School Association the Statement of Compliance form, once your home school has completer the 180 attendance days.); and

_____I/We the Parent / Legal Guardian / Foster Parent and the only approved Teacher for all mandated subjects, and (who is/are the legal guardian (s), agree to Respect and Uphold the Privacy of ALL MEMBERS; and

_____I/We the Parent / Legal Guardian / Foster Parent and the only approved Teacher for all mandated subjects, and (who is/are the legal guardian (s), agree to make all my records available to New Beginnings Home School Association for viewing at New Beginnings Home School Association’s request, in the event of any legal challenge requiring New Beginnings Home School Association’s confirmation of your legal status on your behalf; and

_____I/We the Parent / Legal Guardian / Foster Parent and the only approved Teacher for all mandated subjects, and (who is/are the legal guardian (s), understand that giving any inaccurate, misleading, or incomplete information (in any respect) will result in the immediate termination of membership from this association; and

_____I/We the Parent / Legal Guardian / Foster Parent and the only approved Teacher for all mandated subjects, and (who is/are the legal guardian (s), understand New Beginnings Home School Association holds all copyrights to any and all association issued paperwork.   Further, all association issued paperwork may not be copied and or maintained by any official, unless said official has obtained specific written permission from New Beginnings Home School Association Director.

Member of HSLDA (Home School Legal Defense): Yes / No (Circle your answer);

Please provide your member number if Yes:______________________

_______________________________________________
(Signature of both parents/guardians required)

Date* ______/_____/_____

_______________________________________________
(Signature of both parents/guardians required)

Date* ______/_____/_____

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