APPLICATION FOR APPROVAL OF HOME INSTRUCTION (Section 56-65-40, as amended, of the 1976 S. C. Code) Return application to: M.T. Anderson Support Center▪ 100 Blassingame Rd▪ Greenville, SC 29605 ( please include) ATTN: HOME SCHOOL Please provide all information requested in this application. You must file a separate application for each child you wish to instruct at home. You will be notified of the date, time, and place at which this application will be considered by the Board of Trustees should you desire to attend. If your application is not approved, you have the right to appeal the decision to the State Board of Education within ten days. Each application is approved for one year only. Please check one of the following: Initial Application: □ PERSONAL INFORMATION Renewal Application: □ First Name Initial Last Name (Parent/Guardian Responsible for Home Instruction) Biological Parent: Y / N (Circle One) Home Address Telephone City State Name of Child Date (First) (Middle) (Last) Zip Date of Birth / / / Male or Female QUALIFICATIONS OF PARENT OR GUARDIAN (Check highest earned and attach a copy of your diploma or degree , if not already on file) General Educational Development Certificate (GED) High School Diploma Bachelor’s Degree or Above INSTRUCTIONAL PROGRAM You must maintain the following documentation for each child you instruct: (1) a written record of instruction in each subject area, (2) a portfolio of the child’s work, and (samples may be requested) (3) a record of evaluations you conduct. It is also necessary that you provide to the school district reports of attendance and assessment twice during the year on forms which will be provided. You must schedule 180 days of instruction to include 4 1/2 hours of instruction per day exclusive of lunch and recess. GRADE YOUR CHILD COMPLETED FOR SCHOOL YEAR 2010-201: GRADE LEVEL FOR THIS APPLICATION-SCHOOL YEAR 2011-2012: _______ _______ June 23, 2011 TEXTBOOKS: Grades 7-12 Please provide the information requested for each subject. If any of this information changes after your initial application, you must submit the new information to the school district. Per South Carolina Home School Laws high school students have to participate in End-of-Course Exams. Courses that require End-of-Course Exams are English 1, Algebra 1, Physical Science, Mathematics for Technologies 2 and US History and Constitution . For more information and standards for these courses please refer to South Carolina Department of Education website. www.ed.sc.gov In addition children who are home schooled are not eligible for a South Carolina High School Diploma. It is the parent’s responsibility to note entrance requirements for home schooled children at the post-secondary institution your child might wish to attend in the future. Mathematics Textbook Grade Level Publisher Copyright Date ________ ISBN # __________________ Science Textbook Grade Level Publisher Copyright Date ISBN # __________________ Social Studies Textbook Grade Level Publisher Copyright Date ISBN # __________________ Literature Textbook Grade Level Publisher Copyright Date ISBN # __________________ Composition Textbook Grade Level Publisher Copyright Date ISBN # __________________ Other (optional) Textbook Grade Level Publisher Copyright Date Other (optional) Textbook Grade Level Publisher Copyright Date Please list other materials available for use (examples: encyclopedias, educational games, etc.). Please explain what kind of record of instruction you plan to keep (examples: plan book, diary, etc.). Please explain what kind of evaluation records you plan to keep (examples: tests, reports, etc.) Please explain where instruction will take place in your home? ________________________________________________________________ Please list library facilities available for use by your child? ____________________________________________________________________________________________ June 23, 2011 STATE TESTING PROGRAM In accordance with South Carolina Home School Laws students must participate in state required testing - Section 59-65-40 Part A (6). Please indicate which option you prefer for your child’s participation in the State Testing Program. (Details will be provided prior to testing dates.) Student’s home base school. At home (You will be responsible for paying a fee.) STUDENTS WITH DISABILITIES: Please specify disability and provide documentation. Disabilities: __Autism __Mental Disability __Deaf/Blind __Speech-Language Impaired __Multiple Disabilities __Traumatic Brain Injury __Developmental Delay __Orthopedically Impaired __Visually Impaired __Emotionally Disabled __Other Health Impaired __Hearing Impaired __Specific Learning Disability Does your child have one of the following: IEP (Individualized Education Program) 504 Accommodation Plan Please include a current copy of IEP or 504 Accommodation Plan which will be used to identify testing accommodations and/or modifications. WAIVER By completing an application for home instruction, I understand that I am agreeing to hold the district, the district Board of Trustees, and the district’s employees harmless for any educational deficiencies of my child sustained as a result of home instruction. Date Signature ______________________________________ PRINT OPTIONAL INFORMATION The Board of Trustees is interested in the reasons parents choose home instruction. Please check as many as apply: Religious Expense of private school Medical problem Maturity Learning problems Dissatisfaction with school environment Dissatisfaction with teachers Other Comments Dissatisfaction with administration Curriculum not challenging Curriculum not inclusive Individual attention Convenience Too much work after school Family relationships In what type of program was your child enrolled last year? Private Public School Home School ______________ Name of last school attended? South Carolina law provides three legal options for home schooling. A copy of the state law is enclosed. It is also on the state website: www ed.sc.gov June 23, 2011 OPTION 1: Greenville County School District (Contact: Tracie Mills 864-355-2077 or email: temills@greenville.k12.sc.us ) Complete the enclosed application. Parent must have a minimum of a GED or high school diploma. Attach a copy of the GED, diploma, or degree to the application form. Students must participate in the state-required testing program. Grades and attendance records are requested twice a year. Applications must be renewed annually. OPTION 2: South Carolina Association of Independent Home Schools (Contact: SCAIHS 803-454-0427) website: scaihs.org OPTION 3: Home School Associations (Contact: SC Home Educators Association 803-772-2330) A list of home school accountability groups can be found at this website: ed.sc.gov/topics/educationinsc/homeschool PUBLIC LIBRARY The South Carolina Curriculum Standards published by the State Department of Education Home Educators Resource Book (curriculum suppliers) Mary Prides Complete Guide to Getting Started Home Schooling Internet access is available at the public library; web site: Home-school.com PARENT SUPPORT GROUPS South Carolina Homeschool Network web site: schomeschool.com Carolina Homeschooler: E-mail: editor@carolinahomeschooler.com The Home School Inclusive Network of Northern Greenville (THING); E-mail: thing-homeschoolersowner@yahoogrougps.com INSTRUCTIONAL PROGRAM Home school parents are responsible for purchasing their own textbooks. Questions regarding curriculum, textbooks and grade levels should be addressed to the textbook publisher. South Carolina State Department of Education website: www.ed.sc.gov PUBLISHERS Bob Jones University Press, 1700 Wade Hampton Boulevard, Greenville SC 29614, 1-800-845-5731 Children's Books, PO Box 239, Greer SC 29652, 1-864-968-0391 website: www.childsbooks.com A Beka Book Home School Catalog, PO Box 19100 Pensacola, FL 32523, 1-877-223-5226 website: www.abeka.com Alpha Omega Publications, 1-800-622-3070 website: www.aop.com June 23, 2011