2008-2009 Co-op Application

Parent Information

Father’s name: ______________________________________________

Mother’s name:  _____________________________________________

Address:  _________________________________________________

City:  _______________               Zip:  ______________

Home Phone:  _______________  Cell Phone:  __________________

E-mail:  ___________________________________

Requirements

·                    Completion of application process, subject to Board approval

·                    Signed Statement of Faith

·                    Membership in MTHEA for 2008-2009 (www.MTHEA.org)

·                    Enrolled with an Umbrella school program or with the state of TN.  List Umbrella program:  __________________________

·                    Presence of a parent on campus at all times that student(s) is (are) present at co-op

·                    Agree to teach class for two hours each week

·                    Payment of applicable fees*

Student Information (K – 6^th grade)

Student name:  _____________________________________________

Date of Birth:  ________________  Grade for 08-09:  _______________

Student name:  _____________________________________________

Date of Birth:  ________________  Grade for 08-09:  _______________

Student name:  _____________________________________________

Date of Birth:  ________________  Grade for 08-09:  _______________

Student name:  _____________________________________________

Date of Birth:  ________________  Grade for 08-09:  _______________

Sibling Information

Names & Birthdates: 

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Background Information

Name of local church where you and your family are members

______________________________________________________________

In order to help us get to know you better, please share a brief testimony of how you came to know the Lord and your walk with Him since.  (Continue on back if necessary.)

(Husband)_______________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

(Wife)_________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

So that we may discover ways you may be able use your gifts within the community, please list any areas of ministry in which you and your family currently serve within your local church family.

______________________________________________________________

______________________________________________________________

______________________________________________________________

What year did you begin home schooling?

 ______________________________________

How would you describe your approach to home schooling?  (Ex. Classical, Traditional, Literature-based, Unit Study, Combination, Unschooling, Other)

______________________________________________________________

Please provide two character references including names, phone numbers, and/or email addresses.

______________________________________________________________

______________________________________________________________

How did you hear about the Shanan Community?

______________________________________________________________

______________________________________________________________

Teaching

List preferred classes & age groups, referring to proposed course options.  If you have a preference to teach AM or PM which takes precedence to subject taught, please indicate.  Priority to placement in classes will be based on order completed applications with applicable fees are received.

1^st choice subject:  _____________________  Age group:  ____________

2^nd choice subject:  ____________________  Age group:  ____________

3^rd choice subject:  ____________________  Age group:  ____________

AM/PM (Please circle only if the time you teach is a higher priority than the subject.)

Elective preferences by Student (K – 6^th grade)

Please indicate the classes in which your children are most interested referring to proposed course options.  A class schedule will not be posted until mid-June at which time registration will take place for specific courses.  This portion of the application is for planning purposes only.  Completion of this section does not guarantee placement in the chosen classes nor does it replace registration and accompanying payment of tuition for the upcoming year. 

Student name (K-6 only):  _____________________________

1^st choice class:  _____________________  3^rd choice class: _____________________

2^nd choice class: _____________________  4^th choice class: _____________________

Student name (K-6 only):  _____________________________

1^st choice class:  _____________________  3^rd choice class: _____________________

2^nd choice class: _____________________  4^th choice class: _____________________

Student name (K-6 only):  _____________________________

1^st choice class:  _____________________  3^rd choice class: _____________________

2^nd choice class: _____________________  4^th choice class: _____________________

Student name (K-6 only):  _____________________________

1^st choice class:  _____________________  3^rd choice class: _____________________

2^nd choice class: _____________________  4^th choice class: _____________________

Teacher’s Helpers

(Older siblings interested in assisting teachers, referring to proposed course options.)

Sibling’s name:  ________________________

1^st choice class:  ____________________  Hours available:  __________

2^nd choice class:  ____________________ Hours available:  __________

Sibling’s name:  ________________________

1^st choice class:  ____________________  Hours available:  __________

2^nd choice class:  ____________________ Hours available:  __________

Other Details

Does your child(ren) have any learning disabilities that the Co-op Coordinator should be aware of?  _____  If yes, please explain.  ____________________________________________________

Membership to the Shanan co-op also includes membership to the Shanan community group. 

Mission Statement:

The mission of the Shanan Community is to provide support, encouragement, and resources for families in the body of The People’s Church and in the larger Christian community who feel convicted by God to home school their children; to provide appropriate, meaningful group experiences for our children to compliment their education at home; and to provide information and encouragement to families who are considering home schooling.

Code of Conduct:

My family will:

·                     Strive to promote unity within the Shanan Community.

·                     Do our best to represent the Shanan Community well when participating in community events/activities.

·                     Actively pursue ways we can serve the community by volunteering in some capacity.

I understand that continuation of membership is dependent upon adherence to this code of conduct and that all decisions concerning membership will be decided upon by the governing community board for the benefit of the group at large.

* $20 registration fee payable to The People’s Church and $15 administration fee payable to Kelly Savage upon submission of application.  Tuition payment is due and payable in mid-June when registration for classes takes place.