Home Study Program Declaration Of Intent

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GEORGIA DEPARTMENT OF EDUCATION

STATE OF GEORGIA HOME STUDY PROGRAM DECLARATION OF INTENT FORM

Georgia law requires parents or guardians who teach their children at home to submit to the Georgia Department of Education (GADOE) an annual Declaration of Intent form. A Declaration of Intent must be submitted to the Georgia Department of Education within 30 days after establishment of a home study program and by September 1 annually thereafter.

The parent or guardian shall have the authority to execute any document required by law, rule, regulation, or policy to evidence the enrollment of a child in a home study program, the student’s full-time or part-time status, the student’s grades, or any other required educational information. This shall include, but not be limited to, documents for purposes of verification of attendance by the Department of Driver Services, for the purposes set forth in subsection (a.1) of Code section 40-5-22, documents required pursuant to Chapter 2 of Title 39 relating to employment of minors, and any documents required to apply for the receipt of the state of federal public assistance.

Learn more about the Dexter Mosely Act, which allows qualifying home school students in grades 6-12 to participate in extracurricular activities in the student’s resident public school system. Home Schools (gadoe.org).

† SPECIAL ED.		NAME OF STUDENT(S)	AGE OF STUDENT(S)
	*		*









† Indicate by checking the box next to the name of any student who is identified as or suspected of needing special education services.Please note this section is optional.
* Information must be entered on all required fields. NOTE: First blank field line of student information is a required field.

The school year for this home study program is * to * . During this 12-month period, the Home Study program must provide instruction equivalent to 180 days with each day consisting of 4.5 hours of instruction per day unless the child is physically unable to comply. You may begin a home study program at any time during the calendar year. You may count the days in a current school year that a student spends in public or private school as part of the 180 days. The beginning date is always the date you intend to begin home schooling your student(s).

SIGNATURE OF PARENT/GUARDIAN:

DATE SUBMITTED:

PRINT NAME OF PARENT/GUARDIAN:

PHONE (Optional):

ADDRESS:

CITY:

STATE:

ZIP:

DISTRICT:

SCHOOL YEAR (Optional):

IMPORTANT: After submitting this form electronically it will create a 36 unique character parent signature line. This form with the 36 unique character parental signature line is the official home study record that is required for a driver’s license/permit, work permit, and all other documents related to your child’s educational needs.

	Georgia Department of Education
	Richard Woods, Georgia's School Superintendent
	April 18, 2024 • Page 1 of 1
	All Rights Reserved

By clicking the OK button below, you are certifying that the information entered in the Declaration of Intent is true and correct. You are also certifying that you are the parent or guardian of the individual(s) identified in the Declaration of Intent.
Additionally, by clicking the OK button below, you acknowledge that you are executing a document that contains information required to be reported to the Georgia Department of Education by state law (O.C.G.A. § 20-2-690). You understand that knowingly submitting a document that contains false or misrepresentative information may be a crime in violation of state law (O.C.G.A. § 16-10-71) and may carry further criminal, civil, or administrative penalties.
Finally, by clicking the OK button below, you acknowledge and understand that the Georgia Department of Education is required by state law (O.C.G.A. § 20-2-690) to make available to the local school system in which the home study program is located a copy of the Declaration of Intent.
If you would like to receive an electronic copy of your Declaration of Intent, please enter your email address. We encourage you to take advantage of this opportunity so that you will have proof of this transaction for your records.

Thank You!...Your Declaration of Intent has been submitted.

NOTE: Please do not forget to print/save a copy of your DOI before leaving this page.