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) ______________________