NOTICE OF INTENT TO HOMESCHOOL
School Year 20________–20 ________
I am providing notice of my intention to provide home instruction for the child(ren) listed below as provided for by §22.1.-254.1 of the Code of Virginia, in lieu of having them attend school.
Child #1
Grade Level _____________
Name of Child _________________________________________
Age on or before September 30th (optional) _____________
Subjects to be studied this year include ____________________________________________________________________________
______________________________________________________________________________________________________________________
Child #2
Grade Level _____________
Name of Child _________________________________________
Age on or before September 30th (optional) _____________
Subjects to be studied this year include ____________________________________________________________________________
______________________________________________________________________________________________________________________
Child #3
Grade Level _____________
Name of Child _________________________________________
Age on or before September 30th (optional) _____________
Subjects to be studied this year include ____________________________________________________________________________
______________________________________________________________________________________________________________________
I am eligible to provide home instruction by my indication of fulfilling at least one of the criteria below:
_____ I have attached a high school diploma or a higher credential.
_____ I have attached my teaching license from the Board of Education (Attach a copy of a teaching license or a statement to this effect from the Virginia Department of Education.)
_____ I have provided a program of study or curriculum which is to be delivered through a correspondence course or a distance learning program or in some other manner. (Attach an acceptance letter or other evidence of enrollment showing the name and address of the school and a list of subjects to be studied for the coming school year if the child is enrolled in a correspondence course or distance learning program. If you chose to provide a program of study or curriculum in some other manner as specified in the code, a list of the subjects to be studied for the coming school year must be submitted to the school division.)
_____ I have attached to this notice a statement which describes why I am able to provide an adequate education for my child(ren). (Please contact your local school division to determine what its requirements are.)
_____ As prescribed in §22.1-254.1 of the Code of Virginia, I have included or will provide my school division with a list of subjects to be studied during the coming school year, and evidence of having met one of the above criteria along with this Notice by August 15 of each year. If I begin home instruction after the school year has started, I will submit this notice as soon as practicable and comply with the other requirements within 30 days of this notice to the school division.
I understand that by August 1 following this school year, I must provide evidence of educational achievement as prescribed in §22.1.254.1 of the Code of Virginia, which defines the requirements for home instruction.
I hereby certify that I am the parent or guardian of the child listed above.
Name: __________________________________________________________________________________________
Phone: _______________________________ E-Mail: __________________________________________________
Address: _________________________________________________________________________________________
Parent/Guardian Signature: __________________________________________________ Date: _______________
Courtesy of The Organization of Virginia Homeschoolers 2023
School Year 20________–20 ________
I am providing notice of my intention to provide home instruction for the child(ren) listed below as provided for by §22.1.-254.1 of the Code of Virginia, in lieu of having them attend school.
Child #1
Grade Level _____________
Name of Child _________________________________________
Age on or before September 30th (optional) _____________
Subjects to be studied this year include ____________________________________________________________________________
______________________________________________________________________________________________________________________
Child #2
Grade Level _____________
Name of Child _________________________________________
Age on or before September 30th (optional) _____________
Subjects to be studied this year include ____________________________________________________________________________
______________________________________________________________________________________________________________________
Child #3
Grade Level _____________
Name of Child _________________________________________
Age on or before September 30th (optional) _____________
Subjects to be studied this year include ____________________________________________________________________________
______________________________________________________________________________________________________________________
I am eligible to provide home instruction by my indication of fulfilling at least one of the criteria below:
_____ I have attached a high school diploma or a higher credential.
_____ I have attached my teaching license from the Board of Education (Attach a copy of a teaching license or a statement to this effect from the Virginia Department of Education.)
_____ I have provided a program of study or curriculum which is to be delivered through a correspondence course or a distance learning program or in some other manner. (Attach an acceptance letter or other evidence of enrollment showing the name and address of the school and a list of subjects to be studied for the coming school year if the child is enrolled in a correspondence course or distance learning program. If you chose to provide a program of study or curriculum in some other manner as specified in the code, a list of the subjects to be studied for the coming school year must be submitted to the school division.)
_____ I have attached to this notice a statement which describes why I am able to provide an adequate education for my child(ren). (Please contact your local school division to determine what its requirements are.)
_____ As prescribed in §22.1-254.1 of the Code of Virginia, I have included or will provide my school division with a list of subjects to be studied during the coming school year, and evidence of having met one of the above criteria along with this Notice by August 15 of each year. If I begin home instruction after the school year has started, I will submit this notice as soon as practicable and comply with the other requirements within 30 days of this notice to the school division.
I understand that by August 1 following this school year, I must provide evidence of educational achievement as prescribed in §22.1.254.1 of the Code of Virginia, which defines the requirements for home instruction.
I hereby certify that I am the parent or guardian of the child listed above.
Name: __________________________________________________________________________________________
Phone: _______________________________ E-Mail: __________________________________________________
Address: _________________________________________________________________________________________
Parent/Guardian Signature: __________________________________________________ Date: _______________
Courtesy of The Organization of Virginia Homeschoolers 2023