We do not discriminate on the basis of Race, Religion, National or Ethnic Origin, Gender, or Disability.
School year for which you are applying: _______________________ Type of Membership:
Full Membership Auxiliary Membership Preschool/Kindergarten Membership Are you a renewing SCAIHS member (member last year)? Yes No
If YES, please provide member number: ____________________ Please contact SCAIHS at (803) 454-0427 if you don’t know your member number. **Renewing members do NOT need to fill out items with an* unless information has changed.
If NO, are you a former SCAIHS member (but not last year)? Yes No If so, please provide member number if possible: _______________ Please contact SCAIHS at (803) 454-0427 if you don’t know your member number.
PARENTS OR LEGAL GUARDIANS
Please provide the names of the parent(s), stepparent, or legal guardian(s) living in the home:
(Legal Guardians—Please send a copy of court-appointed guardianship.)
MR/MRS/MS/DR/REV: _______________________________________________________________________ MR/MRS/MS/DR/REV: _______________________________________________________________________ MAILING ADDRESS: _______________________________________________________________________ _______________________________________________________________________ RESIDENCE: _______________________________________________________________________ _______________________________________________________________________
PHONE: (home) ______________________ (his cell) _____________________ (her cell) ___________________
(his work) _________________________________ (her work) _________________________________
PRIMARY EMAIL: ___________________________________________________________________________ SECONDARY EMAIL: ________________________________________________________________________
HOME SCHOOL INFORMATION
Prog _______ CCR _______ RC ________ Ach _______
OFFICE USE ONLY: DATE REC’D ___________________ SD________ PAPER ONLINE APPR ____________ INIT _________________ DATE ACC SENT___________ PD ____________ AUTH/CK#___________
FULL RECUR HS Fee _________SN Fee _________ HS Track: I II III IV PP DEPOSIT _______ Per Course ______ SF ____________ RECORDS REQUESTED________
*NAME OF HOME SCHOOL __________________________________________________ (Every home school in SCAIHS is considered an independent school and needs a name. The name you choose for your school becomes a part of your student’s permanent record. Your school name will appear on such documents as transcripts, scholarship applications, and requests for financial aid.)
*PUBLIC SCHOOL DISTRICT IN WHICH YOUR HOME SCHOOL IS LOCATED: _________________________________ *Did you home school last year? Yes No
*Are you currently home schooling? Yes No *Have you just moved from out-of-state? Yes No
*How did you hear about SCAIHS? ________________________________________________ (If you were referred by a current member please give their full name.)
FAMILY INFORMATION
S
TUDENTSE
NROLLING INSCAIHS
OTHER STUDENTSNAME DOB (ENROLLMENT GRADE YEAR)
GENDER NAME AGE
Please note: the deadline to enroll high school students in Tracks I, II, & IV is September 15th for first semester, and January 15th for second semester.
*Are any of the enrolled children from a marriage that ended in a divorce? Yes No
If YES, are the children held in: your sole legal custody? joint legal custody? If the child(ren) are held in joint legal custody, this application must be accompanied by a letter from the parent who is not the primary instructor granting his/her consent for the child(ren) to be home schooled. If this is impossible to obtain, please explain your circumstances on a separate sheet of paper.
*Is either parent deceased? Yes No
*Please state your reason(s) for home schooling. ______________________________________ ______________________________________________________________________________
PRIMARYINSTRUCTOR:____________________________________________________ (SC law requires that the primary instructor be a parent or legal guardian and possess a minimum of a high school diploma or GED.) Mother Father Legal Guardian
*Highest educational degree earned: ________________________________________________ *Name and location of institution from which degree was earned: ________________________ _____________________________________________________________________________ *Was High School Diploma from a correspondence school? No Yes
*Are you employed? No In home Outside home Full time Part time If so, occupation: ________________________________________________________
SECONDARYINSTRUCTOR: _________________________________________________
Mother Father Legal Guardian
*Highest educational degree earned: ________________________________________________ *Name and location of institution from which degree was earned: ________________________ _____________________________________________________________________________ Are you employed? No In home Outside home Full time Part time
If so, occupation: ________________________________________________________
OTHER INSTRUCTOR (or person supervising during school hours):
If someone other than the parent(s) is significantly involved in the teaching process, provide the following information: (Please note that a parent or guardian must be the primary instructor.) Name: ______________________________________________________________________ Relationship to the child(ren): ___________________________________________________ Role in teaching: ______________________________________________________________
Please choose one of the following reporting methods:
Paper Reports (SCAIHS will supply the necessary forms.) Online Reports
Are you a member of Home School Legal Defense Association?
Yes--Membership #____________ Have applied--date ____________ No
The SCAIHS Board highly recommends membership in HSLDA. For an application, go to www.HSLDA.org or call (540)338-5600. The SCAIHS group discount number is 290033.
Yes No Have you been contacted by any official regarding your home school? (Includes
school district personnel, truant officers, DSS workers, or any other official who contacted you for information concerning your child(ren)’s education.)
If YES, please describe the encounter: who contacted you, the nature of the contact (i.e., phone call, letter, personal visit), and the approximate date. Attach the explanation and copies of any correspondence received from these officials to this application.
Yes No Have you ever been investigated for, or charged with, child abuse or neglect, educational neglect, or any other related charge?
If YES, please explain on a separate sheet of paper and attach it to this application. Yes No Has any child that you plan to home school for this school year been suspended or
expelled from school?
If YES, please give details concerning: 1) reasons for the expulsion/suspension; 2) when this occurred; and 3) what school the child was attending at the time. Please put this information on a separate sheet of paper and attach it to this application.
SECTION A
– Basic Annual Membership Fee $1 student - $340, 2 students - $400, 3 or more students - $450 Pre-K / K only - $25, Auxiliary - $100
Subtract $25 if received by July 15th (not applicable to Pre-K / K or Auxiliary) $
Total Section A $
SECTION B
- Additional Annual FeesHigh School Track I, II, or IV # of students ____ x $100 = $
Senior Track I, II, or IV # of students ____ x $ 50 = $
Middle School per high school course # of courses ____ x $ 25 = $ Special Needs 1st year # of students ____ x $ 75 = $ Special Needs returning SN students # of students ____ x $ 50 = $
Total Section B $
Credit Card and Bank Draft payments can be made online at www.schomeschools.org
Total Membership Fees
(Section A + Section B) $
Full Payment Enclosed or payment completed online (Date pd. online ____________)
Deferred Payment- Initial $100 deposit plus Additional Fees (Section B) Enclosed or payment
completed online (Date pd. online _____________)
** Please contact finance office at 803.556.4571 for exact payment due if seeking a military, missionary, or referral discount.
I have read and agree to abide by the enclosed Financial Agreement and SCAIHS Statement of Commitment.
(Signatures required. Please check box that applies.)
____________________________________________________________________ Date ____________________
Father Step Father Legal Guardian
____________________________________________________________________ Date ____________________
SCAIHS Statement of Commitment
As members of the South Carolina Association of Independent Home Schools, we agree that the foundation of home schooling is built, in part, on the traditional family, established by a marriage between one man and one woman. We understand and agree that we are the persons ultimately responsible for the education of our children. In keeping with this, we agree to meet the following requirements for the duration of our membership in the Association:
1. Exercise diligence in teaching our child(ren) in a responsible manner.
2. Plan an appropriate course of study for each student and provide the curricula/materials necessary to implement the course of study.
a. Submit curriculum information to the SCAIHS staff for review using the Proposed Course of Study form or the Course Schedule and Course Description forms.
b. Teach the basic instructional areas of reading, writing, mathematics, science, and social studies and, in grades seven through twelve, composition and literature.
3. Teach (and document) a minimum of 180 days per school year to end by May 31. 4. Read the SCAIHS Member Handbook.
5. Maintain a daily or weekly written record of school work, activities, and field trips for each student, and maintain a portfolio of samples of each student’s academic work.
6. Submit all required reports to appropriate staff in a timely fashion.
7. Have students in grades 3-11 participate in an annual standardized testing program and pay any fees associated with testing. Send a photocopy of test scores to SCAIHS to complete the student file, due June 7.
8. Pay the annual membership fee on time.
9. Primary instructor must have a GED, high school diploma, or higher degree and keep a copy on file.
10. Acknowledge the following: Section 20-7-100 of the Code of Laws of South Carolina states in pertinent part: “Each parent, whether the custodial or non-custodial parent of the child, has equal access and the same right to obtain all educational records... of their minor children... unless prohibited by order of the court.” I/we acknowledge these rights of parents under South Carolina law and consent to the release of all educational records in SCAIHS’ possession to a parent who requests them, unless a court order prohibits such release.
11. Have each student supervised by an adult during traditional school hours.
12. I understand that pertinent graduate records are kept permanently at SCAIHS; all other student records are purged after three consecutive years of non-membership.
Kindergarten Statement of Commitment (for Parents of 5-Year-Old Kindergarten Students)
We agree that the foundation of home schooling is built, in part, on the traditional family established by a marriage between one man and one woman. We understand and agree that we are the persons ultimately responsible for the education of our children. We agree to teach and document the basic instructional areas of reading, writing, mathematics, science and social studies for a minimum of 180 days as required by state law. We understand that records will be personally maintained and not submitted to SCAIHS.
`We understand that failure to fulfill any one of these responsibilities may result in probationary status for our home school or dismissal from the Association. If dismissed, we understand that no fees will be refunded. **Please keep this page for your records.
Financial Agreement:
Should I withdraw my application before approval, my deposit, any high school fee, and special needs fees will be retained along with $50/hour fee for any counseling services already rendered up to the full amount already paid. Any credit balance will be refunded. A withdrawal request must be submitted in writing.
Should an application be denied due to the failure to complete it by a given deadline or an approved membership be revoked for non-compliance, the full balance paid will be forfeited. Dismissed members are also required to pay the outstanding balance on the account.
Approved members are required to pay any outstanding balance of the total annual membership should they withdraw.
Tardy reports warranting more than two written warnings will place members in danger of the loss of future discounts, added administrative fees, and eventual dismissal.
Fee Structure:
The basic fee for membership is based on the number of students enrolled in your homeschool. Other fees apply per student based on additional services requested. Our fee structure is designed to reward early registration and prompt payments.
We ask for a $100 deposit and the additional fees with the application. There is a $25 discount for all applications complete with deposit that are received or postmarked (either by online registration process or paper application submitted via e-mail or mail) by July 15 (not applicable to kindergarten only or auxiliary members).
An application is consider complete once we receive the member application form as well as a student enrollment form, records release form (for new students), and applicable elementary and high school forms as outlined on our registration page for each student. (Course of study forms can follow later if a consultation is desired.) Renewing members must also have all forms, test scores, and fees from the previous year submitted prior to approval.
We also offer a 5% discount for referrals (up to 3 per year) and a 5% discount for missionary and military personnel. Applicants desiring to take advantage of these discounts should pay the deposit and additional fees and then contact the finance office to have the discounts approved and deducted from the balance owed.
Anyone who has not paid in full or agreed to automatic payments by September 15 will be charged a $40 administrative fee and the balance due will be divided over 8 months and billed
the 15th of each month from September through May (excluding December). Applicants joining
after September 15 can avoid the administrative fee by paying in full or agreeing to automatic payments.
For questions about payments, discounts, fees, or member accounts please contact Chrissy in the finance office at (803) 556-4571 or by e-mail at [email protected].
Basic Annual Membership Fee:
1 student $ 340
2 students $ 400
3 or more students $ 450
Kindergarten (Those with older siblings enrolled in SCAIHS are free.) $ 25
Auxiliary (Enrolled in a full correspondence school that provides report cards and transcripts.) $ 100
Additional Annual Fees
(to be paid in full with initial deposit):
High School (Grades 9-12) (Per student in track I, II, or IV) $ 100
Senior Fee (Track I, II, IV, or Auxiliary seniors wishing to participate in graduation) $ 50
Middle School (Grade 7-8) (Per high school course–maximum fee $100 per student.) $ 25
Special Needs 1st year fee $ 75
