Revised 9.9.2020
214 Center Grove Road
Randolph, New Jersey 07869
973-328-5000
www.ccm.edu
___________________________________________________________________
Verification of Home School Completion
Student’s Name:
ID Number:
Address:
Has completed a home school curriculum equivalent to the course work for a
New Jersey high school diploma
Date Completed:
Parent’s Name:
Please check this box to electronically sign this document.
Today’s Date: