HEAV Support Group Submission Form

1. Group Status (Please check the appropriate box in each section.)
New support group information
Update current support group information
Our group is OPEN. Please feel free to refer new homeschoolers to our group.
Our group is CLOSED. Please do not refer new homeschoolers to our group.
2. HEAV Website
Please list our updated group information on HEAV's website, www.heav.org.
Please DO NOT list our group information on HEAV's website, www.heav.org.
Our group has disbanded. Please remove it from your group information.
3. Contact Information
Group Name:
Your Name:
Position:
President
Vice-president
Other
Website:
Primary Contact Person:
Primary Phone Number:
Primary E-mail:
Alternate Contact Person:
Alternate Phone Number:
Alternate E-mail:
4. Mailing Address (For HEAV use only--we do not disclose your contact information to any third party.)
Street Address:
City:
State:
ZIP:
5. Group Services (Please check all that apply.)
Regular Meetings Enrichment or Co-op Classes
Group Newsletter Graduation
E-mail Newsletter Resource Library
Book Fair/Convention Sports Activities
Special Needs Field Trips
Testing Tutoring
   
6. Group Information
Group Size (approximate number of families):   
Quantity of Convention Brochures Desired:    
Religious Affiliation, if any:
Our group primarily includes (check all that apply):
Preschoolers Elementary Junior/Senior High
 
7. Geographic Area(s) Served (check all that apply):
Accomack Co. Dickenson Co. Loudoun Co. Richmond Co.
Albemarle Co. Dinwiddie Co. Louisa Co. Roanoke City
Alexandria Essex Co. Lunenburg Co. Roanoke Co.
Alleghany Co. Fairfax City Lynchburg Rockbridge Co.
Amelia Co. Fairfax Co. Madison Co. Rockingham Co.
Amherst Co. Falls Church Manassas Russell Co.
Appomattox Co. Fauquier Co. Manassas Park Salem
Arlington Co. Floyd Co. Martinsville Scott Co.
Augusta Co. Fluvanna Co. Matthews Co. Shenandoah Co.
Bath Co. Franklin City Mecklenburg Co. Smyth Co.
Bedford City Franklin Co. Middlesex Co. Southampton
Bedford Co. Frederick Co. Montgomery Co. Spotsylvania Co.
Bland Co. Fredericksburg Nelson Co. Stafford Co.
Botetourt Co. Galax New Kent Co. Staunton
Bristol Giles Co. Newport News Suffolk
Brunswick Co. Gloucester Co. Norfolk Surry Co.
Buchanan Co. Goochland Co. Northampton Co. Sussex Co.
Buckingham Co. Grayson Co. Northumberland Tazewell Co.
Buena Vista Greene Co. Norton Virginia Beach
Campbell Co. Greensville Co. Nottoway Co. Virginia-statewide
Caroline Co. Halifax Co. Orange Co. Warren Co.
Carroll Co. Hampton Page Co. Washington Co.
Charles City Co. Hanover Co. Patrick Co. Washington, D.C.
Charlotte Co. Harrisonburg Petersburg Waynesboro
Charlottesville Henrico Co. Pittsylvania Co. West Point
Chesapeake Henry Co. Poquoson Westmoreland
Chesterfield Co. Highland Co. Portsmouth Williamsburg
Clarke Co. Hopewell Powhatan Co. Winchester
Colonial Heights Isle of Wight Co. Prince Edward Wise Co.
Colonial Beach King and Queen Prince George Wythe Co.
Covington King George Co. Prince Williams York Co.
Craig Co. King William Co. Pulaski Co.  
Culpeper Co. Lancaster Co. Radford  
Cumberland Co. Lee Co. Rappahannock  
Danville Lexington Richmond City  
         
8. Link to Us! Please consider adding an HEAV text or logo link to your Website's list of resources. We've made it a snap for your webmaster. Link to HEAV!
 
9. Click Submit! Your completed form will be added or updated on the support
group list within 72 hours.

Thank you so much! We appreciate what you do to help homeschoolers in Virginia.

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