In Herald 5 PO Box 2707, Irmo, SC 29063 Dear HERALD 5 Member, Attached please find: 1. 2. 2014-2015 SAFE in H5 Membership Application Member’s Course of Study Please print all of them AND this cover letter out, complete them, and return them to the SAFE address above by September 1, 2014 or email to: lk.graham58@gmail.com. If you are a renewing member, please be reminded that your 180-day card for this past school year is due by July 15, 2014. If we have not received your 180-day card, we will not accept your 2014-2015 SAFE application. Membership in HSLDA (Home School Legal Defense) or an organization similar is required for membership into SAFE. If you are newly applying to SAFE in HERALD 5 and do not yet have an HSLDA membership, you will need to go to their web site at: http://www.hslda.org to apply for membership. The application fee will be $100.00 rather than $120.00 if you give them the SAFE Group Number #299586. Please do not share this number with anyone else as it only applies to members of SAFE. If you are a returning SAFE member or already have an HSLDA membership, but need to renew your card throughout the year, you may also use the SAFE Group Number to do so. Returning SAFE members: Be sure that your HSLDA membership is up to date. If it is going to expire in the next few weeks, please re-apply now. If you have already re-applied, but have not yet received your new card, copy the OLD card now and return it with your application along with a note saying you have re-applied. Send a copy of the NEW card as SOON as it arrives. If your HSLDA membership is not up to date, we will be UNABLE to process your new SAFE in H5 application. All SAFE applications MUST have a current HSLDA card attached in order to be processed. Please REMEMBER that 90-day-cards, 180-day-cards, active membership in HERALD 5 and keeping up with your HSLDA membership (i.e. not letting it expire any time during this school year) is YOUR RESPONSIBILITY. If at any time, SAFE must send you a letter regarding delinquent paperwork, you will have 10 DAYS to submit the required item. If the item is not returned within the 10 days, your SAFE membership will be revoked. The 90 and 180-Day Cards will be sent via e-mail approximately two weeks before their required return date. The 90-day-card will need to be returned by Feb. 16, 2015; the 180-day-card by July 15, 2015. Mark these dates as well as the expiration of your HSLDA card on your calendar now and don’t forget to send all required material on time. All high school families must submit by July 15th each year, all courses/credits issued, grades and GPA for each high school grade, 9-12th. A worksheet will be on our website for your use. If your student desires the Palmetto Fellows Scholarship, please have a copy of their SAT scores sent to the Commission on Higher Education, code 4313. SAFE offers a “Needs Based” scholarship for members with special needs children or single parents. If you are interested in that, please contact me. Please contact me via e-mail if you have any questions (lk.graham58@gmail.com). The SAFE team is looking forward to a successful 2014-2015 school year. I commit to follow the requirements outlined in the above letter. ______________________________________________ Signature _________________ Date Supervisory Association for Educators in HERALD 5 (SAFE in H5) Membership Application 2014-2015 Please fill out completely! New/Renewal (please circle one) __________________________________ ______________________________ Parent/Guardian Last Name Parent/Guardian First Name __________________________________ _______________________________ Spouse’s Last Name Spouse’s First Name __________________________________ __________________ ______ _________ Street Address City State Zip Code _____________________ _________________ _____________________________ Home Phone Number Work Phone Number Email Address Parent/Guardian level of education: (circle) HS Diploma GED College New to homeschooling: Yes No Years homeschooled:________________ Are you removing your child from a public school? Yes No HSLDA Number________________________________ Expiration Date________________ SCHOOL DISTRICT: (District in which your child would attend school) ____Lexington/Richland 5 ____Lexington 2 ____Lexington 4 ____Richland 1 ____Fairfield ____Lexington 1 ____Lexington 3 ____Newberry ____ Richland 2 ____Other PLEASE INDICATE YOUR HERALD FIVE SMALL GROUP_________________ Estimated Beginning Date for Attendance Records: _______________________ MEMBER INFORMATION: Please list members from lowest to highest grade level. Choose one grade per child. If your child is between grades, choose the grade (s)he would attend in public school. LAST NAME FIRST NAME GRADE 1._______________________________________ ________________________ ___________ 2._______________________________________ ________________________ ___________ 3._______________________________________ ________________________ ___________ 4._______________________________________ ________________________ ___________ 5._______________________________________ ________________________ ___________ 6._______________________________________ ________________________ ___________ **Any parent whose child is under the age of six years prior to 9/1/14 may elect for their child to waive attendance in kindergarten. The parent must sign a waiver with their school district or their supervisory organization (such as SAFE). HERALD 5 SUPPORT GROUP STATUS: Membership in SAFE is contingent upon active HERALD 5 Support Group Status. Active membership requirements are outlined on your HERALD 5 application. Membership in SAFE will be denied those who do not meet those requirements. Virtual Charter Schools are not eligible for membership in SAFE. Divorced/Separated SAFE Spouses: HSLDA has advised SAFE to obtain the spouse’s written approval verifying their understanding that their children are being homeschooled. This document will be required before membership in SAFE is accepted. SAFE in H5 Statement of Commitment I commit to do the following: 1) 2) 3) 4) 5) Maintain a current membership with Home School Legal Defense Association (HSLDA). Be an active member of HERALD 5 Support Group. Have a high school diploma or GED. Have an instructional year of at least 180 days. Plan a curriculum including, but not limited to, the basic instructional areas of reading, writing, mathematics, science and social studies; and in grades seven through twelve, composition and literature. 6) Maintain educational records including: a) A plan book, diary, or other written record indicating subjects taught and activities in which the student and parent/teacher engage. b) A portfolio of samples of the student’s academic work. c) Semester progress reports including attendance records and grades/evaluations for each of the subject areas outlined in Point 5 above. 7) Maintain active membership with SAFE in H5 by: a) Completing enrollment requirements by 9/1/14 (See below) b) Submitting the 90 and 180-day cards by assigned deadlines. 8) Renew HSLDA membership before expiration of current membership and submit a copy of the new HSLDA card within 10 days of the previous card’s expiration date. 9) Submit all requested forms/paperwork required by SAFE within 10 days of notification. 10) Make records available upon request. I understand that failure to fulfill any one of these commitments will result in termination of my child(ren)’s membership in SAFE in HERALD 5. ________________________________ Principle Instructor _________________________ Date TO ENROLL SEND THE FOLLOWING TO SAFE : ___ A complete membership application ___ A signed Statement of Commitment (above) ___ A complete Course of Study for EACH member (make additional copies as necessary) ___ A copy of current HSLDA card (You will need to send another copy of your new updated card if your card expires during the school year.) ___ A signed copy of the SAFE cover letter indicating your understanding of and commitment to following the principles/requirements stated therein. $5 for each child enrolled Number of children______ x $5 = $_______________ $25 per family per year additional fee for high school – fee due when high school credits are issued * $_______________ $10 late fee – if application submitted after 9/1/14. No applications will be accepted after 9/15/14. $_______________ Fee Enclosed $ _______________ I have completed all of the above listed items. _______________________ Signature _______ Date Mail to: SAFE in H5, PO Box 1743, Irmo, SC 29063 Registration deadline is September 1, 2014 Email: lk.graham58@gmail.com *This fee will include maintaining a transcript, class ranking, DMV letter, Good Standing Letters, telephone and email support. Office Use: Fee Rec’d________________ Check Number_______________ ADDITIONAL INFORMATION FOR SAFE MEMBERS SAFE College Gift Application: SAFE offers monetary gifts to students pursuing college careers. Please see the information below for details. You may contact a SAFE for further information. ELIGIBILITY REQUIREMENTS Following High School Graduation: 1. 2. 3. 4. You must attend an approved college either in the upcoming Fall or Spring Semester. You must be a Full Time Student and enrolled for a minimum of 12 credit hours. Deadline to Apply: Application to be postmarked by May 1st Distribution of Award: August 1st for Fall Term December 15th for Spring Term SAFE in H5 Member’s Course of Study School Year 2014-2015 Student’s name and grade Math Writing / Composition Reading / Literature Social Studies / History Science Other PLEASE FILL OUT ONE COURSE OF STUDY FOR EACH ENROLLING STUDENT.