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MDHSA Forms
2011-2012 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
PA Affidavit
PA Attendance Log

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

Graduation
Graduation Application
DVD of Graduation Ceremony Order Form  - Coming Soon

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 West Registration Form

Co-Op Forms for 2011-2012 Year
Co-Op North Registration Form
Co-Op South Registration Form - Coming Soon
Co-Op West Registration Form

Evaluators