32 West Main Street #5
Waynesboro, PA 17268
Office: 717-749-5767 (Call Office number first!)
Gmail phone: 717-925-0585

Free Printable Forms

NEW: Diploma Program Participants:Login
Members of MDHSA Local Support Group:Login

Sample Affidavit

Dated Log / Attendance Calendar

Undated Log

Medical Requirements

Elementary Educational Objectives

Secondary Educational Objectives

PHEAA GRANT APPLICATION INSTRUCTIONS:  An updated application process, homeschooler friendly, and specific to the supervisor (parent) issued diploma is available here.  For more information, please visit https://phea.net/


Here is a cheery “rainbow” undated log  that divides the 180 days into 6 week sections.  http://www.jennifererix.com/2012designs/rainbowcalendar2b.pdf

A black and white version for your kids to color:  http://www.jennifererix.com/2012designs/rainbowcalendar3cb.pdf



MDHSA does not discriminate against families on the basis of race, color, national or ethnic origin.

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