The compulsory education section of the Pennsylvania school code
states:
It is the policy of the Commonwealth to preserve the primary right
of the parent or parents, or person or persons in loco parentis to a child, to choose the
education and training for such child.
To the superintendent of the __________________________________
School District:
I attest that I am a parent or guardian or other person having legal
custody of the child or children listed below, that I am responsible for the provision of
instruction in his/her/their home education program in which the
following courses are
offered in the English language for a minimum of one hundred eighty (180) days of
instruction or a minimum of nine hundred (900) hours of instruction at the elementary
school level or nine hundred ninety (990) hours of instruction at the secondary school
level, and that the home education program is otherwise in compliance with the provisions
of the Public School Code:
At the ELEMENTARY SCHOOL LEVEL the following courses shall be taught:
English, to include spelling, reading, and writing; arithmetic; science; geography;
history of the United States and Pennsylvania; civics; safety education, including regular
and continuous instruction in the dangers and prevention of fires; health and physiology;
physical education; music; and art.
At the SECONDARY SCHOOL LEVEL the following courses shall be taught:
English, to include language, literature, speech and composition: science; geography;
social studies, to include civics, world history, history of the United States and
Pennsylvania; mathematics, to include general mathematics, algebra, and geometry; art;
music; physical education; health; and safety education, including regular and continuous
instruction in the dangers and prevention of fires. Other courses may be included at the
discretion of the supervisor.
I also attest that each child in the home education program has
received the health and medical services required by Article XIV of the Public School Code
and that a comprehensive health record is being maintained for each child. I also attest
that I have a high school diploma or its equivalent, and that all adults living in the
home and persons having legal custody of a child or children in the home education program
have not been convicted, within five years immediately preceding the date of the
affidavit, of the criminal offenses enumerated in subsection (E) of section 111 of the
school code. These offenses relate to criminal homicide, aggravated assault, kidnapping,
unlawful restraint, rape, statutory rape, involuntary deviate sexual intercourse, indecent
assault, indecent exposure, concealing a death of child born out of wedlock, endangering
welfare of children, dealing in infant children, corruption of minors, and sexual abuse of
children. They also include felony offenses relating to prostitution and related offenses,
and felony offenses relating to obscene and other sexual materials.
Attached is:
- An outline of proposed education objectives by subject area.
- Evidence that each child has been immunized or has a religious or
medical exemption from immunizations.
- If a child in the home education program has been identified pursuant
to the provisions of the education of the handicapped act as needing special education
services, excluding those students identified as gifted or talented, then also attached is
written notification of approval from a Pennsylvania-certified special education teacher,
or a licensed clinical psychologist, or a certified school psychologist that this program
addresses the specific needs of the student.
Name of Supervisor of Home Education Program
___________________________
Address of Home Education Program Site
_________________________________
City ______________________ State ____ Zip ________ County
____________
Phone Number of Home Education Program Site _____________________
Name and Age of Each Child Who Shall Participate in the Program:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_______________________________
Signature
Subscribed and sworn before me this day
_______________________________
NOTARIZATION: File with Superintendent School District of Residence
prior to commencement of the Home Education Program and annually thereafter on August 1st.
Please call 1-800-863-1474
with any questions you may have!
