Home School Group Online Membership Application Home > Membership > Home School Group Online Membership Application This application is for christian home school groups/associations. It MUST be completed by a designated leader of the group. To appear in the FACCS 2016-2017 Directory of Schools Online this completed application must be received in the FACCS Office of Program Services by September 1, 2016. If you are not a Home School Group/Association, please click here to locate the appropriate application for your school. Dues and Assessments: Annual Dues: $250 per school Assessment Fees: $8.50 per student Dues and fees will be invoiced upon receipt and acceptance into membership. HOME SCHOOL GROUP INFORMATION Group Status (select one) Choose... New Applicant Home School Group FACCS Member Home School Group (renewal) Group Name Street Address City State Zip Mailing Address (if different from above) Mailing City (if different from above) Mailing Zip (if different from above) County Group Phone Group Fax Group E-mail Address Group Web Site Director Title Choose... Dr. Mr. Mrs. Miss Rev. Director First Name Director Last Name Director E-mail Address Chairperson/Pastor Name Church/Sponsoring Organization Name STUDENT TOTALS Enter total enrolled for 16-17 school year for each section below. If none, enter 0. Then in the next box, enter the names of each student in the group followed by grade and separated by a comma. i.e. John Smith 8th, Early Childhood Total (2-K4) Early Childhood Students Name/Grade Elementary Total (K5-5th) Elementary Students Name/Grade Middle School Total (6th-8th) Middle School Students Name/Grade High School Total (9th-12th) High School Students Name/Grade --------------------------------------------------------------------- Student Total (add all above totals) ______________________________________________________________________________ SIGNATURES Applicant groups must certify that the totals reported above are accurate and must read and agree to the FACCS/IACCS Statement of Faith (click here to view) By typing your full name in the boxes below, you, as a school official, are indicating that the preceding statements are true and accurate. I certify that all of the above information is accurate as of this date of submission. I have read and my home school group hereby subscribes to the FACCS Statement of Faith.