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| | Click here or scroll down to respond to this candidateIndicate by placing an 'X' next to the name of any student who is identified as or suspected of needing special education services. Please note this section is optional. The school year for this home study program is 08/05/2024 to 06/01/2024. During this 12-month period, the Home Study program must provide instruction equivalent to 180 days with each day consisting of 4.5 hours of instruction per day unless the child is physically unable to comply. You may begin a home study program at any time during the calendar year. You may count the days in a current school year that a student spends in public or private school as part of the 180 days. The beginning date is always the date you intend to begin home schooling your student(s). Signature of Parent/Guardian: b59dc8e9-a1b6-46d0-ae44-3896dcc781d0 Date Submitted: 07/20/2024 Print Name of Parent/Guardian: Ginny Krepps Phone (optional): PHONE NUMBER AVAILABLE Address: 241 Taylors lane, Carrollton, GA 30117District: Carroll County (Street Address ) School Year (optional): 2024SPECIAL ED. NAME OF STUDENT(S) STUDENT AGECandidate's Name Street Address
Georgia law requires parents or guardians who teach their children at home to submit to the Georgia Department of Education(GADOE) an annual Declaration of Intent form. A Declaration of Intent must be submitted to the Georgia Department of Education within Street Address days after establishment of a home study program and by September 1 annually thereafter. The parent or guardian shall have the authority to execute any document required by law, rule, regulation, or policy to evidence the enrollment of a child in a home study program, the students full-time or part-time status, the students grades, or any other required educational information. This shall include, but not be limited to, documents for purposes of verification of attendance by the Department of Driver Services, for the purposes set forth in subsection (a.1) of Code section 40-5-22, documents required pursuant to Chapter 2 of Title 39 relating to employment of minors, and any documents required to apply for the receipt of the state of federal public assistance. Learn more about the Dexter Mosely Act, which allows qualifying home school students in grades 6-12 to participate in extracurricular activities in the students resident public school system. Home Schools (gadoe.org). Submitted on 07-20-2024 at 6:39:11 PMIMPORTANT: After submitting this form electronically it will create a 36 unique character parent signature line. This form with the 36 unique character parental signature line is the official home study record that is required for a drivers license/permit, work permit, and all other documents related to your childs educational needs.Georgia Department of EducationRichard Woods, Georgia's School Superintendent07-20-2024 Page 1 of 1All Rights ReservedGEORGIA DEPARTMENT OF EDUCATIONSTATE OF GEORGIA HOME STUDY PROGRAM DECLARATION OF INTENT FORM |