Name *

First Name

Last Name

Spouse Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

With which jurisdiction(s) do you affiliate? *

Greek

Antiochian

OCA

ROCOR

Romanian

Serbian

Other

What is the Homeschool Legal Entity and Type of Instruction that you use/used? *

Please check ALL that apply.

I homeschool independently of the State

I file the California Private School Affidavit

I homeschool through an online public charter

I homeschool through a public charter that does not require online instruction, or does not log attendance according to number of hours spent online

I homeschool through an 'umbrella school' not associated with the government

I supplement my homeschooling with online classes

I supplement my homeschooling by enrolling in classes involving in-person instruction

I supplement my homeschooling by enrolling in a co-op that offers academic classes and/or recreational activities.

I do not homeschool at this time.

This question does not apply to me. I am joining St.Kosmas Community as a donor/sponsor/supporter.

Which Events hosted by St. Kosmas Homeschool Community are of most Interest to you? *

Check ALL that apply.

Educational Field Trips

Service Project Trips

National Park Camping Trips

Pilgrimages to Monasteries

Oratorical Festival

Essay Contest

Fine Art Competition & Exhibit

Photography Competition & Exhibit

Young Inventors Contest

The St. Kosmas WEST CONFERENCE

This question does not apply to me. I am joining St.Kosmas Community as a donor/sponsor/supporter.

How often are you interested in attending a Pan-Orthodox Homeschool Conference? *

Once a Year

Twice a Year

Once every other Year

This question does not apply to me. I am joining St.Kosmas Community as a donor/sponsor/supporter.