PHEN- membership form

Home

PA Home education law

Home educating in PA 101

Home educating for freedom and simplicity

Contacts for more information

Sample affidavit

Sample objectives

Medical exemption form

PHEN membership form

Standardized test suppliers

Links

Pennsylvania Home Education Network membership form

To become members of PHEN please print out a membership form from one of the links below, fill it out and mail it with a check or money order to:
Pennsylvania Home Education Network
952 Peach St., Ellwood City, PA 16117
Unfortunately we are unable to accept membership forms via the internet at this time.

Available here in 2 file formats for offline reading or printing. Everyone should be able to view at least one of them.
membership form in .pdf (Adobe Acrobat) format
membership form in .rtf (rich text) format

Membership is open to Pennsylvania residents who agree with PHEN’s purposes and philosophy (click here to read)

Member benefits:
Subscription to Pennsylvania Home Education News
Membership in local PHEN support group (where available)
Lending library
Voting rights
Eligibility to become a Contact Person, Group Leader or Council Member

Membership package includes:
Information packet (below) plus bylaws, Info Sheet #2 - Recommended Resources, Info Sheet #4 - How to Start or Affiliate an Existing group as a PHEN support group.

Information packet includes:
Info Sheet #1 - Educational Styles Model
Info Sheet #3 - How To Home Educate for Freedom & Simplicity
Copy of PA Home Education Laws
Affidavit
Brochure

Name__________________________________________________
Street__________________________________________________
City________________________ State______ Zip_____________
Phone__________________ E-mail_________________________
School District __________________________________________
County_________ Area NW, SW, C, NE, SE (circle one)

Birthyears of Children_____________________________

NEW?     RENEWAL?

List your family in the member's directory?   Yes / No
Please list our family's interests:
_______________________________________________________
_______________________________________________________

$18.00/ 1 yr. Membership (includes info packet)______
$18.00/ 1 yr. Subscription (for non-PA residents)_______
$5.00/ sample newsletter__________
$3.00/ info packet ______________
tax deductible donation ________________
TOTAL ______________
Thank you!

Send to: Pennsylvania Home Education Network
952 Peach St., Ellwood City, PA 16117