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                    HOME EDUCATION NOTIFICATION FORM
                             (Form Optional)

OAC 3301-34-02  Statement of Purpose:

The purpose of the rules in this 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 the primary right of parents to provide the
education for their child(ren).  Home education must be in accordance with law.

OAC 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, and telephone number (telephone number optional):

     ________________________ _________________________________ _________________
     Name                     Address                           Phone (optional)

 (3) Name, address and telephone number (telephone number is optional) of
     person(s) who will be teaching the child subjects set forth in paragraph (A)
     (5) of this rule, if other than the parent:

     ________________________ _________________________________ _________________

     ________________________ _________________________________ _________________
     Name                     Address                           Phone (optional)


 (4) Full name and birthdate of child(ren) to be educated at home:

     ________________________________________________    ________________________

     ________________________________________________    ________________________

     ________________________________________________    ________________________
     Full Name(s)                                        D.O.B.

 (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 sincerely held 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 Education;
          (g) Fine Arts, including music; and
          (h) First aid, safety, and fire prevention.

 (6) ____ Brief outline of the intended curriculum for the current year
          (attached).
          *Such outline is for informational purposes only.*

 (7) ____ List of textbooks, correspondence courses, commercial curricula, or
          other basic teaching materials that the parent intends to use for home
          education (attached).
          *Such outline is for informational purposes only.*

 (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 above information supplied with his or her
     signature prior to providing it to the superintendent.



_______________________________________________ _________________________________
Signature of Affirmation by Parent              Date