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MDHSA Forms
2009-2010 MDHSA New Membership Application
2010-2011 MDHSA New Membership Application

Use this form to register in the LOCAL Franklin County, PA support group and participate in local activities.
You are NOT registering your student with the Diploma program when you send in this membership form.

To Learn more about the Diploma program, go to the links on the left, and click on Diploma Program.
If interested in registering, then order a diploma guide for $6.00, read the guide book, then submit a DIPLOMA Program Registration form with fee to register your student in the diploma program.

If you have any questions, email This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Diploma program students are NOT required to be members of the MDHSA local support group.

Misc
Mentor Form 07 - 37 KB
PA Affidavit - 36.7 KB
PA Attendance Log -16 KB

Diploma Program - do NOT use these forms if using the Credit Verification Service

Graduation
Graduation Application - 85 KB
DVD of Graduation Ceremony Order Form - DVD Order Form

Credit Verification Service - do NOT use these forms if using the Diploma Program
Enrollment and Annual Filing Form
Credit Verification Report
Transfer Courses Form
Final Graduation Report for Official Transcript
Request for Transcript
Validator Agreement

Co-Op Forms for 2010-2011 Year
Co-Op North Registration Form
Co-Op South Registration Form
Co-Op Cove Valley Registration Form
Co-Op South Jr/Sr High Course Description and Registration Form - Coming Soon

Evaluators