Honors History of Science application
This is the application to take the Honors History of Science course with AP Homeschoolers during the 2024-2025 school year. If you have any questions about the form, please feel free to contact me (Ms. Williams) directly at bafleyanne@gmail.com.
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Student's full name *
Student's email address *
Name Student prefers to be called *
Student's Date of Birth
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Student's Gender
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Student's Pronouns
Parent/Guardian's Name *
Parent/Guardian's email address  *
Parent/Guardian's phone number *
Mailing Address (example: Jane Doe, 123 Nowhere Street, Anytown, NY 12345) *
If you live outside the United States, which country do you live in? If this does not apply to you, please write N/A *
Year of School you will complete in 2024-2025 *
Have you taken any online courses before? If so, please describe them briefly and include the name of the instructor if possible. If this does not apply simply write "none". *
Do you have any special needs or learning disabilities that could require accommodations?
 *
If yes to the question above, what should I be aware of?
Is English your native language (first language spoken in the home)?
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If English is not your first or primary language, please give a quick summary of your language background, including when and in what context English was learned, etc.

What is your reason for wanting to take Honors History of Science? Please feel free to include what your goals are for taking this class and/or anything that you're especially excited about learning! (minimum 1 paragraph) *
Is there anything else that you would like me to know about you? This could be your personal interests, clubs/activities you are involved in, or whatever you like!
For STUDENT:  I have read the course description and the refund and dismissal policies on the AP Homeschoolers website and I understand what this course will require from me. I agree to do my best to keep up with coursework and assignments, turn in assignments on time, and contact Ms. Williams if I have an emergency or need an extension on coursework. Please type your full name below that you agree. *
For PARENT/GUARDIAN:  - I have read the course description and the refund and dismissal policies on the AP Homeschoolers website and I understand what this course will require from my child/guardian. Please type your full name below that you agree. *
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