Arkansas

*This letter is the filled-companion to the official DESE Notice of Intent to Home School form. File the form itself (online at the DESE NOI system, or on paper to your resident district), or send this letter — § 6-15-503(a)(4) allows written notice electronically, by mail, or in person, and § 6-15-503(e) forbids the district from requiring anything beyond the contents below.* --- NOTICE OF INTENT TO HOME SCHOOL Ark. Code § 6-15-503 To: Superintendent, [RESIDENT SCHOOL DISTRICT] From: [PARENT / LEGAL GUARDIAN NAME], parent / legal guardian I hereby give notice of my intent to provide a home school for my child(ren) named below, and I agree that I am responsible for the education of my child(ren) during the time I provide a home school for them. School district: [DISTRICT] · County: [COUNTY] · Start date: [DATE] Student(s): - Name: [CHILD'S NAME] · Sex: [M/F] · Date of birth: [DATE OF BIRTH] · Grade level: [GRADE] - Name and address of school last attended, if any: [SCHOOL NAME AND ADDRESS, OR "NONE"] Home school mailing address: [ADDRESS] Home school telephone number: [TELEPHONE] Name of parent or legal guardian providing the home school: [NAME] Statement of plans to participate during this school year in public school interscholastic activities under Ark. Code § 6-15-509: [YES / NO — describe if yes] Statement of plans to seek a high school equivalency diploma during the current school year: [YES / NO] Signature of parent or legal guardian: ______________________________ Date: ______________