New Family Pre-enrollment Questions - Revival Christian Fellowship

Phone number *

Household members

Please enter the names of students enrolling in Revival Homeschool

Have you and your spouse accepted Jesus as your Lord and Savior? *

Do you regularly attend church? *

School Year *

Are you coming from a public or charter school? *

Student(s) will be taught by *

Primary location of school? *

Where will students be taught?

Please list your qualifications *

As a private school, we are required by law to keep the qualifications of teachers on file. For all new and continuing members, please list your qualifications (include schools attended, degrees, credentials, teaching experience, and other education or related experience, such as Sunday school teacher training).

Have any of your students ever skipped or repeated a grade? *

Do any of your students have an IEP or a 504? *

Have your students ever received any special tutoring? *

Have any of your students ever been suspended, expelled or asked to withdraw from a school? *

Have any of your students had any problems with any type of drugs alcohol, or tobaco? *

Do you share custody of any student? *

If yes, we need a consent letter from the other parent permitting enrollment.

Are both parents in support of homeschool? *

If you have full custody, we will need a copy of the court document.

Why do you want to homeschool? *

How did you hear about Revival Homeschool? *

Are you currently a member of HSLDA? *

HSLDA membership is a requirement to join Revival Homeschool. The only exceptions are families whose enrolled children are under 6 years of age OR have reached the age of 18.

Please add any additional comments or questions.