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Home School Notification Form

This form is designed to satisfy notification requirements as set forth in OAR 581-021-0026 (1)(f).
Please complete all required information.


Parent Guardian Information













Release of Student Information

☑ Do not release my high school student’s directory information to military recruiters and/or institutions of higher education. I understand that the information that may be released to these individuals/institutions includes student name, address, and telephone listing.

By Oregon law, both parents (whether married, separated, or divorced) have access to the records of a student who is under 18 unless the district is provided evidence that there is a court order, state statute or legally binding document that specifically revokes these rights.

☑ There are restrictions on the release of student information to non-custodial parent/guardian(s). If checked you must attach a copy of the court order or other legal document restricting release


Student Information

















☑ I request a Parent Assurance Form for the GED Options program for 16 or 17 year old student


Under Oregon law, students who are age 6 on or before September 1st must be enrolled in school – public, private or home school.

As required by ORS 339.035, I am providing information to Linn Benton Lincoln Education Service District stating my intent to home school the above named child. I understand that this notice must be filed with the ESD within ten calendar days of withdrawing the above named child from school, and that this information will be provided to the resident school and district by the ESD. I understand that the above named child needs to complete standardized achievement testing at applicable dates per ORS 339.035, and that LBL request test results from all home schooled students. I understand that home school parents have the full responsibility for their student’s education, including all curriculum ch oices and record keeping. LBL is not able to provide curriculum, books or materials, and is not involved in the direct education of home school students. LBL is not involved in reviewing, approving, or monitoring a home school student’s education, beyond receiving required test results. No credits, transcript or diplomas are issued by LBL for home school students.
☑ I have read and understand this


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Once we receive your online notification, we will reply by email. Generally within 10 business days you will be sent confirmation of home school enrollment letter which will give you information about how to remain in compliance with home school laws. If you do not receive an email and a letter, please contact our office by phone 541-812-2687 or email.

Home School – Contact

Program Administrator:
Ann Lavond

Home School Registrar:
Sam Rounsavell

Contact:
541.812.2687
541.926.6047
Email

Other:
School District Contacts
For families in the 12 districts of Linn, Benton and Lincoln counties.

Community College Contacts
Local community colleges offering GED and other resources to older home school students.