Title Page
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Conducted on
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Legal Name
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Location
THE APPLICANT
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Legal Name
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Birth Date
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CAID (Common App ID)
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Address
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School you now attend
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CEEB/ACT Code
THE HOME SCHOOL SUPERVISOR
Philosophy
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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
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Please explain the grading scale or other methods of evaluation.
Outside Evaluation
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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.
Transcript
English
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Course Title & Level (AP/College)
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Date (To/From)
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Grade
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Primary Text Used
Math
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Course Title & Level (AP/College)
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Date (To/From)
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Grade
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Primary Text Used
Science
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Course Title & Level (AP/College)
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Date (To/From)
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Grade
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Primary Text Used
Social Studies
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Course Title & Level (AP/College)
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Date (To/From)
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Grade
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Primary Text Used
Foreign Language
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Course Title & Level (AP/College)
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Date (To/From)
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Grade
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Primary Text Used
Arts
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Course Title & Level (AP/College)
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Date (To/From)
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Grade
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Primary Text Used
Other
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Course Title & Level (AP/College)
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Date (To/From)
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Grade
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Primary Text Used
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Supervisor’s Name (Mr./Mrs./Ms./Dr.)
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Supervisor's Signature
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Supervisor's Phone #
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Supervisor's E-mail
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Are you a member of a homeschooler's association?
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Name of Association
