Homeschool Pod Program Application Form 
Thanks for  your interest in participating in the 6-week Homeschool Pod Program.  Please complete the questions below.
Sign in to Google to save your progress. Learn more
Email *
What is your first and last name? *
Where are you located?  What time zone are you in? *
What is the best way to contact you?  (Include your email, phone number, private message account, etc.) *
Do you educate your children in a homeschool setting? *
Are you responsible for educating  elementary age children? *
What age(s) are the children who would participate in the program? *
Will you be available for live calls from 10-11 AM ET and 2-3 PM ET throughout the 6-week program? *
Will your children be available for live calls from 2-3 PM ET throughout the 6-week program? *
Do you have good, reliable computer equipment and internet? *
Are you aware that the program includes one 4 hour workshop prior to pod start (can watch replay),  6 individual coaching calls for the parent (one per week) , 1 pod welcome call and 12 whole group instruction calls for the entire family? *
Are you willing and able to submit the birth information (date, time and location) for yourself and each child participating in the program prior to the start of the pod? *
There may be sponsorship money that could support your homeschool family and help reduce the financial costs of participating in the program.  Which of these best describes your financial situation?

****Upon request sponsors can learn about who they supported by receiving your location and the first names of the parent/children benefiting from their sponsorship.  The rest of your experience in the program is confidential.****  
Tell me a little about your homeschool family and why you decided to homeschool your children? *
Thank you for your interest.  Feel free to add any additional comments or questions here including which pod dates you are most interested in.

I will be in touch soon to discuss next steps. 

All the best,
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ellen L Hefty. Report Abuse