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HOME SCHOOLS

Notification of Establishment of a Home School - Online Notification

This form must be completed with all the required information and submitted to the Secretary of Education within thirty (30) days of the home school's establishment and by August 1st of each subsequent year.

* School District:
(district where student is a resident)
NOTE: Choose the school District for which you are submitting a notice.
* School Year:
NOTE: Choose the school year for which you are submitting a notice.

Parent Information:
Home School Operator/Parent or legal guardian information

* Parent First Name:
Parent Middle Initial:
* Parent Last Name:
Additional Parent/Legal Guardian First Name:
Additional Parent/Legal Guardian Last Name:
* Address:
* City:
* State:
* Zip:
Email:
Verify Email:
Phone:
- -
* Yes, I received:

Instructor(s) Information: IF DIFFERENT FROM PARENT:
Instruction must be provided by someone who has received a High School diploma or GED

Instructor First Name:
Instructor Middle Initial:
Instructor Last Name:
Yes, Instructor(s) have received:

Student Information:
Please list the name and date of birth(DOB) of each child who will be home schooled:

First Name:
Last Name:
DOB: mm/dd/yyyy
Additional Home School Child:
*
*
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Statement of Truthfulness and Accuracy:

*

** Please enter your initials in the space above. **

The information given by me in this Notification of Establishment of a Home School Form is true and correct to the best of my knowledge and belief.

Date: 10/19/2017

PLEASE CLICK THE SUBMIT BUTTON ONLY ONCE
DO NOT DOUBLE CLICK AS THIS MAY RESULT IN A SERVER ERROR