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Northeast Independent Preparatory Academy

Membership Application

Northeast Independent Preparatory Academy is a home schooling association for independent studies. As we work together, our students will benefit by obtaining accredited diplomas as well as from participating in a wide variety of available activities. Parents may choose any college preparatory curriculum that meets NIPA standards. The job of the association is to facilitate the parents’ record-keeping and accountability.

Requirements

All members are required to meet the following:

a) Actively home schooling for one year

b) Educating a student in grade 9 or above

c) File annual Declaration of Intent with your county and with the NIPA center

d) Provide a student profile sheet for each student

e) Read and understand requirements from the Georgia Accrediting Commission

f) Complete monthly reports on student progress, listing number of hours spent in each subject area and attendance, and submit to receiving secretary

g) Payment of annual dues and fees

h) Not incur expenses without express permission from the NIPA center

i) Sign and submit Honor Policy and Release and Indemnity Agreement (Both parents must sign)

j) Completion of continuing education hours and student activities.

k) Student has a designated area of study.

l) Student has access to appropriate research materials, including encyclopedic, CD-ROM or the Internet.

|Parent(s): | | |

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|Address: | | |

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|Phone: | | |E-mail: | |

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|Number of Years Home Educating: | |Highest Education Level: |Mother: | |Father: | |

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|Children in NIPA | | | | |

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|Name: | |Age: | |School Grade: | |

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|Name: | |Age: | |School Grade: | |

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|Name: | |Age: | |School Grade: | |

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|I have read and agree with the requirements | | | |

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Signature: ______________________________________________ Date: _______________________

Signature: ______________________________________________ Date: _______________________

Northeast Independent Preparatory Academy

Honor Policy

 

Since I have freely chosen to be a member of NIPA, I promise to abide by its rules, and guidelines, including the requirements set forth by the GAC, the accrediting body. In addition, I certify that the information I have provided to date, and the ongoing academic information, which I am required to provide, will be truthful and accurately reflect the academic work accomplished by the student. I understand that should false information be submitted, or existing documents falsified by unauthorized changes, my membership will be terminated immediately, and the student will not be issued an academic transcript. It is my intention to fully comply with NIPA, and should I be found delinquent in my responsibilities, be subject to its governing authority and discipline. I indemnify and hold harmless NIPA, and NIPA Board members against any and all claims, suit, or actions.

 

To this end, I have read and understand the NIPA and GAC Guidelines, and forms, and am in agreement with them. By my signature below I intend to be bound by them while a member of NIPA.

 

 

 

_______________________________ ____________________

Parent signature Date

 

_______________________________ ____________________

Parent signature Date

_______________________________ _____________________

Student signature Date

 

 

_______________________________ _____________________

Student signature Date

Northeast Independent Preparatory Academy

Release and Indemnity Agreement

I grant NIPA the right to inspect and oversee the academic records of my child/children in accordance with its membership guidelines and policies. I also give consent for my child/children to participate in NIPA sponsored activities. In doing so, I will indemnify and hold harmless NIPA, NIPA board members, and NIPA parents acting as chaperones during a NIPA sponsored activity, against any and all claims, including any claim, suit, or action for personal injuries or otherwise.

 

_______________________________ ____________________

Parent signature Date

 

_______________________________ ____________________

Parent signature Date

_______________________________ _____________________

Student signature Date

 

 

_______________________________ _____________________

Student signature Date  

 

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