Home School Summary Form
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1HOME SCHOOL SUMMARY FORM
Student’s Full Legal Name:____________________________________ DOB:________________ Graduation Date:__________________
Please complete this Home School Summary Form. Each subject should be represent one Carnegie unit (or academic year) of study. You must
complete the minimum Carnegie units indicated for each subject. On separate paper, provide a detailed description of course work completed in
each subject area including subject title, course description, texts or program used, and primary teacher.
ENGLISH (4 units)
YEAR COMPLETED
GRADE EARNED
SOURCE
*
Grammar and Usage
20____
________________
_______________
American Literature
20____
________________
_______________
World Literature/British Lit.
20____
________________
_______________
Advanced Composition
20____
________________
_______________
Other__________________
20____
________________
_______________
MATH
(4 units; the 4
unit must require Algebra II and Geometry as pre-requisite courses; cannot be Business Math or Consumer Math)
th
Algebra I
20____
________________
_______________
Algebra II
20____
________________
_______________
Geometry
20____
________________
_______________
Algebra III
20____
________________
_______________
Other__________________
20____
________________
_______________
NATURAL SCIENCE (4 units)
Physical Science
20____
________________
_______________
Biology (with Lab)
20____
________________
_______________
Chemistry (with Lab)
20____
________________
_______________
Other__________________ 20____
________________
_______________
SOCIAL SCIENCE (3 units)
American History
20____
________________
_______________
World History
20____
________________
_______________
Economics and Government 20____
________________
_______________
Other__________________ 20____
________________
_______________
FOREIGN LANGUAGE (2 units of the same language)
Please specify Foreign Language: ________________________
First Year
20____
________________
_______________
Second Year
20____
________________
_______________
List all institutions and sites attended: ________________________________________________________________
I certify that the information provided herein is accurate and factual documentation of this student’s high school curriculum under my
instruction.
Full Name of Primary Teacher (please print): ______________________________________________________________
Signature Of Primary Teacher:___________________________________________________ Date: _________________
*Source Legend: 1. Public School 2. Private School 3. Correspondence 4. Home Curriculum
If you need this document in another format, please e-mail Steven Bagley at
steven.bagley@ung.edu
or call at 678-717-3641.
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