First Name
Last Name
Spouse Name
Spouse Last Name
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Email
Phone Number
How did you hear about C4?
Please list ALL of your minor children, including infants, as well as children who may be in school.
Name
Birthdate
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Approximate grade they are going into
Any Allergies?
Any Medical Conditions we need to be aware of?
Does your child have any special needs that we need to accommodate in order to facilitate learning? If yes, please explain.
Background Information
Please do not leave any questions unanswered
Please tell us a little bit about your homeschooling journey. How long have you been homeschooling?: Why did you decide to homeschool? What are your goals? Why are you interested in joining a homeschool co-op? Etc.
Where do you currently attend church and in what capacity, if any, do you serve in your local church?
Link to our Statement of Faith below. Please open and sign. Your application will not be considered without your assent.
Statement of Faith
**Applications must be approved by the C4 Leadership Team before applicant is considered a member of the co-op. All applications will be given due and careful consideration. C4 reserves the right to deny applications for any reason without explanation.**
If accepted into C4 Co-op, our family agrees that we will:
Strive to promote unity within the C4 Co-op.
Do our best to preserve the reputation of C4 when participating in community events/activities.
Adhere to the Rules and Guidelines set forth by C4, participate to the best of our abilities and actively engage with other co-op families.
I understand that continuation of co-op participation is dependent upon adherence to this code of conduct and that all decisions concerning membership will be decided upon by the leadership team for the benefit of the group at large.
Requirements:
Completion of application, membershipis subject to Leadership team approval and current opening.
Signed Statement of Faith
Agree to teach classes, substitute as needed, assist in classes and bring a willingness to serve so that co-op can run smoothly and efficiently.
Background check
Signature
<
Back
Next
>
Submit