JOIN or RENEW Today
1.
Academic Year
09/10 (June '09- May '10)
10/11 (June '10- May '11)
11/12 (June '11- May '12)
2.
Applying For
New Homeschooler with PACESC
Reenrolling with PACESC
3.
PACESC Member ID
4.
List State or Group
5.
(1) Parent/ Legal Guardian
6.
(1) Education
NO: GED/ High School Diploma
YES: GED/ High School Diploma
7.
(1) Teaching
Yes
No
8.
(2) Parent/ Legal Guardian
9.
(2) Education
NO: GED/ High School Diploma
YES: GED/ High School Diploma
10.
(2) Teaching
YES
NO
11.
Phone Number
12.
Alt. Phone
13.
Email
14.
Street Address
15.
City
16.
State
17.
Zip
18.
Mail to: Address
19.
Mail to: City
20.
Mail to: State
21.
Mail to: Zip
22.
School Districts (A - C)
REQUIRED!!!
Abbeville
Aiken
Allendale
Anderson 1
Anderson 2
Anderson 3
Anderson 4
Anderson 5
Bamberg 1
Bamberg 2
Barnwell 19
Barnwell 29
Barnwell 45
Beaufort
Berkeley
Calhoun
Charleston
Cherokee
Chester
Chesterfield
Clarendon 1
Clarendon 2
Clarendon 3
Colleton
23.
School Districts (D - K)
Darlington
Dillon 2
Dillon 3
Dorchester 2
Dorchester 4
Edgefield
Fairfield
Florence 1
Florence 2
Florence 3
Florence 4
Florence 5
Georgetown
Greenville
Greenwood 50
Greenwood 51
Greenwood 52
Hampton 1
Hampton 2
Horry
Jasper
Kershaw
D - K
24.
School Districts (L - R)
L - R
Lancaster
Laurens 55
Laurens 56
Lee
Lexington 1
Lexington 2
Lexington 3
Lexington 4
Lexington 5
McCormick
Marion 2
Marion 7
Marlboro
Newberry
Oconee
Orangeburg 3
Orangeburg 4
Orangeburg 5
Pickens
Richland 1
Richland 2
25.
School Districts (S - Y)
S - Y
Saluda
Spartanburg 1
Spartanburg 2
Spartanburg 3
Spartanburg 4
Spartanburg 5
Spartanburg 6
Spartanburg 7
Sumter 2
Sumter 17
Union
Williamsburg
York 1 (York)
York 2 (Clover)
York 3 (Rock Hill)
York 4 (Fort Mill)
26.
(1) Student Name
27.
(1) Student DOB
28.
(1) Student Grade
29.
(1) Student Will Be:
Homeschooling
In Public School
In Private School
30.
(1) Enrollment Issues
Special Ed/ Disability
Expelled from District
Expulsion Hearing Pending
Foster Child
No Issues
31.
(2) Student Name
32.
(2) Student DOB
33.
(2) Student Grade
34.
(2) Student Will Be:
Homeschooling
In Public School
In Private School
35.
(2) Enrollment Issues
Special Ed/ Disability
Expelled From District
Expulsion Hearing Pending
Foster Child
No Issues
36.
(3) Student Name
37.
(3) Student DOB
38.
(3) Student Grade
39.
(3) Student Will Be:
Homeschooling
In Public School
In Private School
40.
(3) Enrollment Issues
Special Ed/ Disability
Expelled From District
Expulsion Hearing Pending
Foster Child
No Issues
41.
(4) Student Name
42.
(4) Student DOB
43.
(4) Student Grade
44.
(4) Student Will Be:
Homeschooling
In Public School
In Private School
45.
(4) Enrollment Issues
Special Ed/ Disability
Expelled From District
Expulsion Hearing Pending
Foster Child
No Issues
46.
(5) Student Name
47.
(5) Student DOB
48.
(5) Student Grade
49.
(5) Student Will Be:
Homeschooling
In Public School
In Private School
50.
(5) Enrollment Issues
Special Ed/ Disability
Expelled From District
Expulsion Hearing Pending
Foster Child
No Issues
51.
(6) Student Name
52.
(6) Student DOB
53.
(6) Student Grade
54.
(6) Student Will Be:
Homeschooling
In Public School
In Private School
55.
(6) Enrollment Issues
Special Ed/ Disability
Expelled From District
Expulsion Hearing Pending
Foster Child
No Issues
56.
(7) Student Name
57.
(7) Student DOB
58.
(7) Student Grade
59.
(7) Student Will Be:
Homeschooling
In Public School
In Private School
60.
(7) Enrollment Issues
Special Ed/ Disability
Expelled From District
Expulsion Hearing Pending
Foster Child
No Issues
61.
Person completing application:
62.
Date of Application