Course Request: Homeschool Students
Homeschool educated students living in the Penn Manor School District may participate in cocurricular activity that merges extracurricular activities with a required academic course, including band or orchestra; CTE programs, and academic courses equaling up to 25% of the school day for full-time students. 
Please complete all fields to this form to express your interest in this program.
Cindy Rhoades - Homeschool Coordinator, 717.872.9500 x2223
Sign in to Google to save your progress. Learn more
Parent/Guardian FIRST Name *
Parent/Guardian LAST Name *
Parent/Guardian EMAIL *
Phone Number *
Home Address *
Student FIRST Name *
Student LAST Name *
Student PAsecureID (If known)
Students taking a class with the school district are required to have a Pennsylvania Department of Education PAsecureID. If your child does not have a PASecureID, one will be issued.
What is your child's grade level? *
Required
Course or activity of interest. *
School Year *
Other comments or questions.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Penn Manor School District. Report Abuse