Name: 

Address:

Home Phone:

Cell Phone:

Email Address (for communication):

PayPal Email Address (Used for payment purposes only):

Will your family be a member of Homeschool First?

If not, then there will be a $25 fee to cover website access and insurance each year.  This will be charged via Paypal or check/cash.

What classes are you interested in teaching?  

Please describe your educational and/or employment background related to what you are interested in teaching:  

Please provide a bio for our website (limit to 4 or 5 sentences):  

Please list at least 1 person as a reference along with their phone number.