Tennessee

*Filled-companion to the Tennessee Intent to Home School Form — independent home school route only. If you enroll in a church-related (Category IV umbrella) school instead, do not file this form; enroll with that school, and be ready to show the district proof of enrollment if asked when you withdraw from public school.* [PARENT-TEACHER NAME] [STREET ADDRESS, CITY, TN ZIP] [PHONE] · [EMAIL] [DATE] Director of Schools, [NAME OF SCHOOL DISTRICT / LEA] Re: Annual notice of intent to conduct a home school — Tenn. Code Ann. § 49-6-3050(b)(1) Dear Director of Schools: I give notice of my intent to conduct a home school as an independent home school during the [SCHOOL YEAR] school year. For purpose of reporting only, as § 49-6-3050(b)(1) provides, I submit the following: Children to be home schooled (names, number, ages, and grade levels): - [FULL NAME] — Age: [AGE] — Grade level: [GRADE] - [FULL NAME] — Age: [AGE] — Grade level: [GRADE] Number of children: [NUMBER] Location of the school: [STREET ADDRESS, CITY, TN ZIP] Proposed curriculum to be offered: [PROPOSED CURRICULUM] Proposed hours of instruction: [PROPOSED HOURS — the statute requires at least 4 hours per school day, 180 days per year] Qualifications of the parent-teacher: I possess [a high school diploma / a GED or state board-approved high school equivalency credential], as § 49-6-3050(b)(4) requires. Signature: ______________________________ Date: ____________ [PARENT-TEACHER NAME, printed]