Application

Student Name

Student Birthday

Month

Day

Year

Parent/Guardian Name

Email Address

Please tell us about your child’s previous schooling experience (public, private, homeschool, etc.)

Why did you feel homeschooling was the right choice for your family?

What curriculum or work will your child be bringing in? At what grade level is your child studying?

Any known learning/behavioral disabilities, IEP, or special needs?

What are your child’s strengths? What does your child struggle with?

What are your goals for your child as a result of their participation in our program? Anything else you would like to add about your family, lifestyle, background, or any other factors that are strong influences in your child’s life?

THE VINE