Letter Of Termination Of Home Education Program printable pdf download

Letter Of Termination Of Home Education Program

LETTER OF TERMINATION OF HOME EDUCATION PROGRAM

IN ST. JOHNS COUNTY

THE FOLLOWING INFORMATION MUST BE COMPLETED (PLEASE PRINT)

Please complete a separate form for each child.

STUDENT’S FULL LEGAL NAME

BIRTHDATE

(Last)

(First)

(MI)

(Month) (Day) (Year)

MAILING ADDRESS

(Street or PO Box)

(City, State, Zip)

In compliance with Florida Statute 1002.41(1)(a), this is written notice to terminate the Home

Education Program for my child.

I am terminating the Florida Home Education Program for my child because he/she is/has

___ returning to public school. (Name and location of school optional__________________________)

___ enrolling in private school. (Name and location of school optional_________________________)

___ moving out of St. Johns County. (City / State optional___________________________________)

___ completed the home education high school program.

___ attained the age of sixteen (16), and is no longer of compulsory school age. We understand that

terminating school enrollment is likely to reduce earning potential. In addition, I realize that my

issuance of a driver’s license shall be suspended until I reach age 18.

____________________________ ___________ _______________________________ ___________

Parent/Guardian’s Signature

Date

Child’s Signature (if 16 years of age)

Date

FORWARD THIS COMPLETED FORM TO THE ADDRESS PROVIDED BELOW:

Home Education Department

40 Orange Street

Saint Augustine, FL 32084

Fax (904) 547-7695

For Office Use Only

To be completed by St. Johns County School District

Date received by SJCSD ___________________________

Letter Of Termination Of Home Education Program