Online Application Online ApplicationSibling Application Parent's Name(s)*Date* Date Format: MM slash DD slash YYYY Mailing Address (Street)Must be a resident of Alaska. Please include your physical location below so we know which learning center to have correspond with you.Physical Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Mailing Address (if different from physical)Email* Child's Name*Date of Birth* Date Format: MM slash DD slash YYYY Child must be at least 4 by September 1st.Sex (M/F)*MaleFemaleLast School Attended, if applicable (City & State)Last Grade Completed/Date CompletedOther applicant children or siblings (Please compete all fields)First NameDate of BirthSexLast SchoolLast Grade Completed Please describe what you see as the parent’s role and responsibility as the homeschool Teacher*Please describe what you see as the district’s role and responsibility in providing services for home school students*Check the type of instructional program that will best serve your child* Traditional curriculum: textbooks and workbooks; limited activities; guidelines Mixed curriculum: some textbooks and workbooks; some projects that incorporate several subject areas; hands-on projects Eclectic curriculum: instruction based on students’ interests; integrated curriculum (i.e. math, language arts and science all combined to work on a specific activity; very flexible guidelines Have you homeschooled previously? If yes, tell us your experience.*If you did homeschool previously, was it with FOCUS?YesNo1st time homeschoolingIf you did FOCUS homeschool before, which site?Why are you interested in a homeschool program?*Please describe for us what you see as your child's/children's strengths and weaknesses in regards to learning*How did you hear about our program?* Website Radio ad Flyer/Brochure Referral Facebook Other CAPTCHAFOCUS Homeschool District Office 9312 Vanguard Dr., Suite 100 Anchorage, AK 99507 Ph. (907) 522-7400 Fax (907) 522-3399NameThis field is for validation purposes and should be left unchanged. Parent's Name(s)*Date* Date Format: MM slash DD slash YYYY Mailing Address (City, State & Zip)Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Physical Address (if different from above)Email Address* Other applicant children or siblings (Please compete all fields)*Student's NameDate Of BirthGenderLast GradeLast School Please list your children that are currently enrolled with FOCUS Homeschool*Mark the box for the type of instructional program that will best serve your child* Traditional curriculum: textbooks and workbooks; limited activities; guidelines Mixed curriculum: some textbooks and workbooks; some projects that incorporate several subject areas; hands-on projects Eclectic curriculum: instruction based on students’ interests; integrated curriculum (i.e. math, language arts and science all combined to work on a specific activity; very flexible guidelines Please describe for us what you see as your child’s/children’s strengths and weaknesses in regards to learning*Once you have finished completing this application, please continue the online process, mail or fax the application to the nearest FOCUS Homeschool Program.CAPTCHANameThis field is for validation purposes and should be left unchanged. Parent's Name(s)*Date* Date Format: MM slash DD slash YYYY Mailing Address (Street)Must be a resident of Alaska. Please include your physical location below so we know which learning center to have correspond with you.Physical Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Mailing Address (if different from physical)Email* Child's Name*Date of Birth* Date Format: MM slash DD slash YYYY Child must be at least 4 by September 1st.Sex (M/F)*MaleFemaleLast School Attended, if applicable (City & State)Last Grade Completed/Date CompletedOther applicant children or siblings (Please compete all fields)First NameDate of BirthSexLast SchoolLast Grade Completed Please describe what you see as the parent’s role and responsibility as the homeschool Teacher*Please describe what you see as the district’s role and responsibility in providing services for home school students*Check the type of instructional program that will best serve your child* Traditional curriculum: textbooks and workbooks; limited activities; guidelines Mixed curriculum: some textbooks and workbooks; some projects that incorporate several subject areas; hands-on projects Eclectic curriculum: instruction based on students’ interests; integrated curriculum (i.e. math, language arts and science all combined to work on a specific activity; very flexible guidelines Have you homeschooled previously? If yes, tell us your experience.*If you did homeschool previously, was it with FOCUS?YesNo1st time homeschoolingIf you did FOCUS homeschool before, which site?Why are you interested in a homeschool program?*Please describe for us what you see as your child's/children's strengths and weaknesses in regards to learning*How did you hear about our program?* Website Radio ad Flyer/Brochure Referral Facebook Other CAPTCHAFOCUS Homeschool District Office 9312 Vanguard Dr., Suite 100 Anchorage, AK 99507 Ph. (907) 522-7400 Fax (907) 522-3399NameThis field is for validation purposes and should be left unchanged.
