Letter of intent for Dade

(Date)______________________

Division of Student Services

 

 

Florida Home Education Program

489 East Drive

Miami Springs, FL 33166

 

Subject: Notice of Intent to Establish a Home Education Program

 

To Whom It May Concern:

In compliance with Section 232.02(4)(B)(1), Florida Statute, this serves as written notice of our intent to

home educate our child (ren). Please refer to the following for the information required by this law.

 

Child’s Name                             Birthdate                                        Social Security # (optional)

 

______________                      _____________                                _________________________

 

_______________                     _____________                              __________________________

 

_______________                   _______________                            ___________________________

 

_____________                        ______________                             ____________________________

    

 

Home Address:

 

Home Phone Number (optional):____________________________________________________________

 

Sincerely,

(Parent’s Signature)______________________________

 

(Parent’s Name- Please Print) ______________________