Wisconsin

*Filled-companion to the official online Form PI-1206 (HOMER). The filing itself is made online with the Department of Public Instruction on or before October 15; this letter carries the same statutory contents — the statement of enrollment and the indication under Wis. Stat. § 115.30(3) — and nothing more.* > [DATE] > > Wisconsin Department of Public Instruction > > **PI-1206 Homeschool Enrollment Report — companion statement under Wis. Stat. § 115.30(3)** > > School year: [SCHOOL YEAR] > > Administrator of the home-based private educational program (parent or guardian): [ADMINISTRATOR FULL NAME] > > Address: [FAMILY ADDRESS] > > Resident school district: [SCHOOL DISTRICT] > > **Statement of enrollment on the 3rd Friday of September** ([DATE — 3RD FRIDAY OF SEPTEMBER]): > > - Pupils enrolled in elementary grades: [NUMBER] > - Pupils enrolled in high school grades: [NUMBER] > > **Indication under Wis. Stat. § 115.30(3):** This home-based private educational program meets all of the criteria under Wis. Stat. § 118.165(1): its primary purpose is to provide private or religious-based education; it is privately controlled; it provides at least 875 hours of instruction each school year; it provides a sequentially progressive curriculum of fundamental instruction in reading, language arts, mathematics, social studies, science and health; it is not operated or instituted for the purpose of avoiding or circumventing the compulsory school attendance requirement; and its pupils, in the ordinary course of events, return annually to the homes of their parents or guardians for not less than 2 months of summer vacation. > > Signature: ______________________________ [ADMINISTRATOR — PARENT OR GUARDIAN] > > Date: [DATE]