JOIN or RENEW Today

1. Academic Year
2. Applying For



Instructions #3 and #4: If you are renewing, please enter your Member ID which comes from last year's letter. If you are a new applicant, please list provide the state or homeschool group you are transferring from. If withdrawing from a school, you may enter just the words "public/private school".
3. PACESC Member ID
4. List State or Group
If you are new to PACESC and need the school your children have previously attended (or are being withdrawn from) to be notified that you are now homeschooling, please list the names of the schools. We will also need the information to request records if your student has been awarded credits from a private or public school.
5. Please Notify:
6. (1) Parent/ Legal Guardian
7. (1) Education



8. (1) Teaching



9. (2) Parent/ Legal Guardian
10. (2) Education



11. (2) Teaching



12. Phone Number
13. Alt. Phone
14. Member Letter Delivery



15. Email
16. Street Address
17. City
18. State
19. Zip
20. Mail to: Address
21. Mail to: City
22. Mail to: State
23. Mail to: Zip
It is required that you report the school district that your children would attend. This information is used by PACESC to create our statistical reports in January. All homeschool groups must do this.
24. School Districts (A - C)
25. School Districts (D - K)
26. School Districts (L - R)
27. School Districts (S - Y)
28. (1) Student Name
29. (1) Student DOB
30. (1) Student Grade
31. (1) Student Will Be:





32. (1) Enrollment Issues









33. (2) Student Name
34. (2) Student DOB
35. (2) Student Grade
36. (2) Student Will Be:





37. (2) Enrollment Issues









38. (3) Student Name
39. (3) Student DOB
40. (3) Student Grade
41. (3) Student Will Be:





42. (3) Enrollment Issues









43. (4) Student Name
44. (4) Student DOB
45. (4) Student Grade
46. (4) Student Will Be:





47. (4) Enrollment Issues









48. (5) Student Name
49. (5) Student DOB
50. (5) Student Grade
51. (5) Student Will Be:





52. (5) Enrollment Issues









53. (6) Student Name
54. (6) Student DOB
55. (6) Student Grade
56. (6) Student Will Be:





57. (6) Enrollment Issues









58. (7) Student Name
59. (7) Student DOB
60. (7) Student Grade
61. (7) Student Will Be:





62. (7) Enrollment Issues









63. Person completing application:
64. Date of Application
IMPORTANT NOTES ABOUT SUBMITTING THIS FORM! Only click "Submit" button once. After submitting this form you will returned to this page. Scroll back up to the top of the form: Do you see the message: "Hi! Your details have been sent and saved." ? YES... you are finished! If the message states there is an error...Check for errors and fix the form; then hit "Submit" button. Now do you see the message: "Hi!..."? You must see this message to know your submission was successful.