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Gallatin Christian Homeschool Co-op Gallatin Christian Homeschool Co-op Gallatin Christian Homeschool Co-op Gallatin Christian Homeschool Co-op Gallatin Christian Homeschool Co-op
 

GCHC Online Application

indicates a required answer

1. 

Mother's Name:
2. 

Mother's Address:
3. 

Father's Name:
4. 

Father's Address:
5. *

Participating Parent:
6. *

Phone:
7. *

Email Address:
8. *

Emergency Contact: (other than Father or Mother)
9. *

Phone:
10. *

Students Name:                                                              Date of Birth:                        Age:
11. 

Students Name:                                                              Date of Birth:                        Age:
12. 

Students Name:                                                              Date of Birth:                        Age:
13. 

Students Name:                                                              Date of Birth:                        Age:
14. 

Students Name:                                                              Date of Birth:                        Age:
15. 

Students Name:                                                              Date of Birth:                        Age:
16. 

Students Name:                                                              Date of Birth:                        Age:
17. 

Students Name:                                                              Date of Birth:                        Age:

 

The following questions are part of the membership process in order to provide a safe and secure environment for our children and youth. All information will be held strictly confidential. Thank you for your understanding.

 
18. *

Has any family member ever been convicted of, or are currently under investigation for any sexually related crime?
Yes No
19. *

Has any family member ever been convicted of, or are currently under investigation for any abuse related crimes?
Yes No
20. 

If you answered "yes" to any of the above questions, please explain:
21. *

Each semester one parent per family must:

  • Lead teach one class AND
  • Lead teach OR assist in a second class

Considering the age group(s) you enjoy working with and the subjects you'd find interesting (no need to be an expert), how do you see you or your spouse serving at GCHC? Please be specific.
22. *

Which church does your family attend?
23. *

Name of Pastor:
24. *

Denomination:
25. *

Please briefly share your testimony about when you began your personal relationship with Jesus Christ:

 

COMMITMENTS

In signing this application and submitting it for admission to GCHC, we understand that we are committing to Gallatin Christian Homeschool Co-op and all the terms outlined in the GCHC handbook.

To the best of our knowledge, all of the information and statements we have provided in this application are true. We also understand that admission of our family to GCHC is not guaranteed and must be approved by the Administrative Team.

In the event that we have to unexpectedly withdraw from GCHC, we will provide a detailed outline to the administrative team of any class we have committed to teach, agree to meet with the replacement teacher to assist in class planning and my $50 deposit check will be cashed.

 
26. *

Signature of Mother or Guardian:                                             Date:
27. 

Signature of Father or Guardian:                                               Date:

 

We have reviewed and agree to comply with the guidelines of the Ettiquette Code and Honor Code outlined in the GCHC handbook.

 
28. *

Signature of Mother or Guardian:                                             Date:
29. 

Signature of Father or Guardian:                                               Date:

 

References: Please provide 3 names that we could contact. One should be a Pastor, Bible Study Leader, or Accountability Partner. Other two can be friends or co-workers who can speak to your character, teaching, parenting, marriage, etc.

 
30. *

Name of 1st reference:
31. *

Relationship:
32. *

How long have you known them?
33. *

Address:
34. *

City/State/Zip:
35. 

Email:
36. *

Phone:
37. *

Name of 2nd reference:
38. *

Relationship:
39. *

How long have you known them?
40. *

Address:
41. *

City/State/Zip:
42. 

Email:
43. *

Phone:
44. *

Name of 3rd reference:
45. *

Relationship:
46. *

How long have you known them?
47. *

Address:
48. *

City/State/Zip:
49. 

Email:
50. *

Phone: