chfm.org
Central Homeschool Family Ministries
Pre Interview Form
Name
Spouse
Occupation/Degree of Husband & Wife
Address City Zip
Phone
Cell
Emergency contact name Number
e-mail address
Number of Years Home schooled
Where did the children attend school prior to home schooling
Are you a member or have you ever been a member of any other homeschool group or co-op?
Name of group Group Contact Name
Family attends church at Member: Yes No
Names of Children Ages/Birthdate Grades M/F
1. M: F:
2. M: F:
3. M: F:
4. M: F:
5. M: F:
6. M: F:
Do you and your spouse have a growing relationship with the Lord?
Briefly explain.
CHFM is a cooperative effort and the parents are responsible for assisting the instructors in a class setting. What strengths will you bring to CHFM?
Do you have any special areas of expertise?
Any outstanding strengths or weaknesses in your children?
CHFM is a structured and intense program that requires a high degree of work and commitment. What would you like or not like about CHFM ?
Do you foresee any problems fulfilling your commitment?
Why do you desire to be a part of CHFM?
"I understand that to become a new member for the Spring 2008 session I must attend a MANDATORY informational meeting on August 27th, 2008 at 2:00 p.m." This pre-interview form must be submitted by July 15, 2008.