Home Education Notification Form
360 East Enon Road
Yellow Springs, OH 45387
Home Education Notification Form
3301-34-02 Statement of Purpose
The purpose of the rules in ths chapter is to prescribe conditions governing the issuance of excuses from school attendance under section 3321.04 of the Revised Code, to provide for the consistent application thereof throughout the state by superintendents, and to safeguard te primary right of parents to provide the education for their child(ren). Home education must be in accordance with the law.
3301-34-03 Notification
(A) A parent who elects to provide home education shall supply the following information to the superintendent:
1. School year for which notification is made: ___________________________
2. Name of parent: _________________________________________________
Address: _________________________________________________________
_________________________________________________________________
Telephone number (optional) _________________________________________
3. Name, address, and telephone number (telephone number optional) of person(s) who will be teaching the child the subjects set forth in paragraph (A) of this rule, of other than the parent:
Name of parent: ___________________________________________________
Address: _________________________________________________________
_________________________________________________________________
Telephone number (optional) _________________________________________
4. Full name and birthday of child to be education at home:
_________________________________ ________________________________
__________________________________ _______________________________
_________________________________ ________________________________
_________________________________ ________________________________
5. Assurance that home education will include the following, except that home education shall not be required to include any concept, topic, or practice that is in conflict with the sincerely held religious beliefs of the parent:
a) language, reading, spelling, and writing;
b) geography, history of the United States and Ohio; and national, state, and local government;
c) mathematics
d) science;
e) health;
f) physical science
g) fine arts, including music; and
h) first aid, safety, and fire prevention.
6. Brief outline of the intended curriculum for the current year. Such outline is for informational purposes only (attach)
7. List of:
______ textbooks
______ correspondence courses,
______ commercial curricula, or
______ other basic teaching materials that the parent intends to use for home education . Such a list is for informational purposes only.(attach)
8. Assurance that the child will be provided a minimum of nine hundred hours of home education each school year.
9. Assurance that the home education teacher has one of the following qualifications:
a) a high school diploma; or
b) the certificate of high school equivalence; or
c) standardized test scores that demonstrate high school equivalence; or
d) other equivalent credential found appropriate by the superintendent; or
e) lacking the above, the home teacher must work under the direction of a person holding a baccalaureate degree from a recognized college until the child's or children's test results demonstrate reasonable proficiency or until the home teacher obtains a high school diploma or the certificate of high school equivalence.
10. The parent(s) shall affirm the information supplied with his or her signature prior to providing it to the superintendent.
Signature ____________________________ Date ________________________ 3301-34-04
3301-34-04 Academic Assessment
(A) The parent(s) shall send to the superintendent an academic assessment report of the child for the previous school year at the time of supplying subsequent notification.
(B) The academic assessment report shall include one of the following: (attach)
1. Results of a nationally normed, standardized achievement test; or
2. A written narrative; or
3. An alternative academic assessment.
