School Report Template

• Conducted on

  Date

• Legal Name

• Location
  Address

• Legal Name

• Birth Date

  Date

• CAID (Common App ID)

• Address

• School you now attend

• CEEB/ACT Code

Philosophy

• Please provide any information about the applicant’s home school experience and environment that you believe would be helpful to the reader (e.g. educational philosophy, motivation for home schooling, instruction setting, etc.).

Grading Scale

• Please explain the grading scale or other methods of evaluation.

Outside Evaluation

• If the student has taken courses from a distance learning program, traditional secondary school, or institution of higher education, please list the course title and content, sponsoring institution, instruction setting and schedule, and frequency of interactions with instructors and fellow students (once per day, week, etc.). In addition, if the student has taken any standardized testing other than those listed on page 2 of the Common Application.

English

• Course Title & Level (AP/College)

• Date (To/From)

• Grade

• Primary Text Used

Math

• Course Title & Level (AP/College)

• Date (To/From)

• Grade

• Primary Text Used

Science

• Course Title & Level (AP/College)

• Date (To/From)

• Grade

• Primary Text Used

Social Studies

• Course Title & Level (AP/College)

• Date (To/From)

• Grade

• Primary Text Used

Foreign Language

• Course Title & Level (AP/College)

• Date (To/From)

• Grade

• Primary Text Used

Arts

• Course Title & Level (AP/College)

• Date (To/From)

• Grade

• Primary Text Used

Other

• Course Title & Level (AP/College)

• Date (To/From)

• Grade

• Primary Text Used

• Supervisor’s Name (Mr./Mrs./Ms./Dr.)

• Supervisor's Signature

  Sign

• Supervisor's Phone #

• Supervisor's E-mail

• Are you a member of a homeschooler's association?

  Yes

  No

  N/A

• Name of Association