HomeEd_Termination
THE SCHOOL BOARD OF BROWARD COUNTY, FLORIDA1822311867300Notification of Termination of Home Education ProgramUse of this form is optional. It is provided for the parent's/guardian's convenience.Please complete one for each student. In compliance with section 1002.41 (1)(a), Florida Statutes this is written notice from the parent/guardian to terminate the home education program for the following student. The parent/guardian is responsible for keeping the home education student's complete portfolio and learning log for two full years. Children between the ages of 6 and 16 years are subject to compulsory school attendance per sections 1003.21, 1003.24, Florida Statutes. For additional information refer to the website.Please Print: STUDENT NAMEDATE OF BIRTHName of Parent(s)/Guardian(s) _______________________________________________ Home Address _______________________________________ Apt # _____________________ City ________________________________________ State ___________ Zip Code _________ Telephone ( )_________________________The reason for termination is:Entry to ___________ public or ___________ private schoolSchool Name ____________________________________________________________________ Moving out of Broward County______________ Completion of High School (e.g., correspondence program)______________ Taking the GED (General Education Diploma) TestOther (specify) _________________________________________________________Signature of Parent/Guardian _______________________ Date _______________________Address:The School Board of Broward CountyHome Education OfficeLauderdale Manors Early Learning & Family Resource Center1400 NW 14th CourtFort Lauderdale, FL 33311Website: HYPERLINK "" homeedEmail:Home.education@Phone:(754) 321-1558Fax:(754) 321-1694Form#4723BREV 9/20 ................
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