Membership Preliminary Application

Preliminary Membership Application

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

* I prefer to be contacted via:

Telephone

Email

* Are you currently homeschooling?

Yes - we have filed with our district.
Yes - we are not of compulsory age to file yet.
No.

* School District

* I am interested in having my child(ren) attend co-op.

* I am interested in teaching co-op classes.

* How did you hear about HLACNY? Do you know any of our current members or co-op participants?

* Our group is an all-volunteer organization that requires members to participate. Participation can take on many forms, such as teaching classes, organizing events, or helping out behind the scenes. How do you see yourself participating in HLACNY?

* We require all applicants to attend a board meeting prior to submitting a membership application. Meetings are held one Wednesday a month at St. Michael's Lutheran Church in Camillus. Please indicate which meeting you plan to attend.

* Indicates Response Required