Enrollment Application

1. Academic Year
2. Applying For



Instructions #3 and #4: WHEN RENEWING, please enter your Member ID which comes from your member letter or card. NEW APPLICANTS, please list the state or homeschool group you are transferring from OR you may enter just the words "public/private school".
3. PACESC Member ID
4. New Applicant
PUBLIC/PRIVATE SCHOOL- or other SC homeschool accountability association- that the child(dren) attended immediately prior to this application if it was not PACESC. Please list the names of the schools for children that will be homeschooling.
5. School Name(s):
6. (1) Parent/ Legal Guardian
7. (1) Education



8. (1) If GED, State & Year
9. (1) If HSD: School, State, Year
10. (2) Parent/ Legal Guardian
11. (2) Education



12. (2) If GED, State & Year
13. (2) If HSD: School, State, Year
14. Phone Number
15. Alt. Phone
16. Member Letter Delivery



17. Email
18. Street Address
19. City
20. State
21. Zip
22. Mail to: Address
23. Mail to: City
24. Mail to: State
25. 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.
26. School Districts (A - C)
27. School Districts (D - K)
28. School Districts (L - R)
29. School Districts (S - Y)
30. (1) Student Name
31. (1) Student DOB
32. (1) Student Grade
33. (1) Student Will Be:





34. (1) Enrollment Issues









35. (2) Student Name
36. (2) Student DOB
37. (2) Student Grade
38. (2) Student Will Be:





39. (2) Enrollment Issues









40. (3) Student Name
41. (3) Student DOB
42. (3) Student Grade
43. (3) Student Will Be:





44. (3) Enrollment Issues









45. (4) Student Name
46. (4) Student DOB
47. (4) Student Grade
48. (4) Student Will Be:





49. (4) Enrollment Issues









50. (5) Student Name
51. (5) Student DOB
52. (5) Student Grade
53. (5) Student Will Be:





54. (5) Enrollment Issues









55. (6) Student Name
56. (6) Student DOB
57. (6) Student Grade
58. (6) Student Will Be:





59. (6) Enrollment Issues









60. (7) Student Name
61. (7) Student DOB
62. (7) Student Grade
63. (7) Student Will Be:





64. (7) Enrollment Issues









65. Person completing application:
66. Date of Application
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