Notice of Intent to Home School

Description

Notice of Intent to Home School Millard School District otice of Intent to Home School 285 East 450 North Delta, UT 84624 Student Name(s) M/F Birth Date Boundary School Dual Enrollment Yes No If yes, list classes or ac vi es Phone Number: Address: Parent/Guardian (please print): Email Address: City: Zip Reason for Home Schooling (op onal): I ______________________________________(Parent/Guardian) of the above-named student(s), declare my intent to homeschool my student(s). I understand and agree: 1. 2. 3. 4. I am solely responsible for the educa on of my student(s). I am solely responsible for the selec on of instruc onal materials and textbooks. I am solely responsible for the se ng the me, place and method of instruc on I am solely responsible for the evalua on of the home school instruc on I accept full responsibility for my student and that he/she may not qualify for a high school diploma issued by Millard School District or any of its schools. (For students with IEPs or iden fied through child find): My decision to home school does not in any way imply that the school district did not provide a free and appropriate public educa on and I understand and agree that my student has no individual right to receive some or all of the special educa on and related services he/she would receive if enrolled in a public school in Millard School District. Consistent with state law, Sec on 53G‐6‐702 and Utah State Board of Educa on Rule R277‐438 For Dual Enrollment: I understand I must meet with the building administrator to determine par cipa on in a course, co‐ curricular ac vity, or program consistent with state law, Sec on 53G‐6‐702, and Utah State Board of Educa on Rule R277‐438 prior to determining dual enrollment. I understand that if my student is participating in the Utah Fits All Scholarship Program, they are not eligible to enroll in or participate in academic programs or services offered by Millard School District during the regular school day. However, my student may participate in extracurricular activities, consistent with district policies and eligibility requirements. I have read this agreement and understand my obliga ons as a home school parent/guardian Parent/Guardian Signature:____________________________________________________ Date_______________________ Note: this informaƟon on this form is for Millard School District use only.