Maryland

*Filled-companion to the MSDE Home Instruction Notification Form. Sign and submit the official MSDE form itself to your local superintendent at least 15 days before the program begins; this letter carries the same statutory consent.* [PARENT/GUARDIAN NAME] [STREET ADDRESS, CITY, MD ZIP] [PHONE] · [EMAIL] [DATE] Superintendent of Schools, [COUNTY / LOCAL SCHOOL SYSTEM] Re: Home Instruction Notification — consent under COMAR 13A.10.01.01B Dear Superintendent: I am the parent/guardian of the child named below and I choose to provide a home instruction program for my child. By signing below I indicate my consent to the requirements set forth in §§C, D, and E of COMAR 13A.10.01.01, as Regulation .01B requires. This statement is submitted at least 15 days before the beginning of the home instruction program. Child: [FULL LEGAL NAME OF CHILD] Date instruction will begin: [DATE] Supervision (check one): [ ] Local school system supervision — I will maintain a portfolio of materials demonstrating regular, thorough instruction and permit its review as Regulation .01D–E provides. [ ] Supervision by a nonpublic school or institution under COMAR 13A.10.01.05: [NAME OF SUPERVISING NONPUBLIC SCHOOL / INSTITUTION] I understand I must verify continuation annually before the beginning of the school year, and notify the local superintendent or the supervising entity if a change occurs in my child's home school status during the school year. Signature: ______________________________ Date: ____________ [PARENT/GUARDIAN NAME, printed]