EmailMe Form - Teen Learning Center

Teen Learning Center
Application for Participation

Last name

Mother's first name

Father's first name

Today's Date *

YYYY

Address *

Street Address *

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Country *

Phone Number *

###

####

Email *

What homeschool support group are you currently a member of? *

How did you hear about TLC? *

How many years have you been homeschooling? *

Please select any MIDDLE SCHOOL classes you are interested in for your student/s.

MS Literature

MS Spanish

MS Art

MS Latin

MS Geography

MS History

MS Grammar

MS Writing

MS Social Studies

MS Vocabulary

MS Science (other than General Science)

Please select any MATH classes you are interested in for your student/s.

Hands on Equations (grades 7-9)

Algebra I

Algebra II

Geometry

Pre-Calculus

Please select any SCIENCE classes you are interested in for your student/s.

General Science(grades 7-9)

Biology

Physical Science

Chemistry

Physics

Advanced Biology/Anatomy & Physiology

Please select any LITERATURE/WRITING classes you are interested in for your student/s.
(MS &HS level)

English I (grades8-10)

American Literature (grades 11-12)

British Literature (grades 11-12)

HS Vocabulary

HS Research Papers/Essays

Advanced Biology/Anatomy & Physiology

Please select any HISTORY classes are you interested in for your student/s.
(HS level)

HS American History

HS Ancient History

HS World History

HS US Government/Economics

HS US Geography

HS World Geography

Please select any HIGH SCHOOL ELECTIVES you are interested in for your student/s.
(HS level)

HS Spanish I

HS Spanish II

HS Financial Peace

HS Career Developement

HS Art

HS Music Appreciation

HS Art Appreciation

HS Public Speaking

HS Drama

HS SAT Prep

HS Music Theory

HS Computers

HS Health

What classes are you willing/able to teach? Please be specific. *

Please note: Acceptance is largely based upon what instruction parents are willing and able to provide in the areas we need.

Are you willing to teach Middle School and/or High School? *

Yes

Did you and your children read our policies and are you and your children in complete agreement with TLC structure and policies? *

Yes

Policies are available to view on our website: www.teenlearningcenter.org

Are you willing to commit to teach a full year, both Fall and Spring semesters? *

Yes

Are you willing to attend all four periods? *

Yes

Are there any issues that would require special accommodations for your child? Examples: learning disabilities/ medical therapies/ behavioral issues

Yes

Please explain:

Do you understand and accept the "Three Strikes and You're Out" policy? *

Yes

You may review the "Three Strikes and You're Out" policy on our website: www.teenlearningcenter.org

Are you willing to supervise and/or assist your child at home in making sure assignments are completed on time? *

Yes

Please list each child's name, age, and grade who you wish to attend TLC for the 2013/14 school year.

Please note: Only biological, adopted, legal foster children or children living with and under legal guardianship of member families are permitted to attend/participate in classes. *

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