Home Instruction

This form is required as an official notice of your intent to provide home instruction in lieu of having one or more children attend public school. Enter the Loudoun County address where you will reside during the school year you specify below. If you are building a home or buying a home please enter your expected address. Example: If your address is 12345 First Street, Leesburg VA 20176, you should enter 12345 in the first box and 20176 in the second box.

Please enter your house or apartment building number:

Apartment number (if any):

Zip Code:

*Required fields

Please select “New” if you are home schooling for the first time. Please select “Renewal” if you have home schooled this student the previous year as well.

Request Type: New Renewal

School Year: 2023-2024

Student Information

Student First:

Student Last:

Birth Date:

The student’s age is requested to confirm that the child is subject to compulsory attendance laws.

Grade:

The student’s grade is requested to confirm eligibility for part-time enrollment.

Address:

Is Mailing Address different from the address above?

Yes No

Address 1:

Address 2:

City:

State:

Zipcode:

Parent Information

Parent Salutation:

Parent First:

Parent Last:

Please provide either a current phone number or email address should we need to contact you regarding your NOI. If no email address is provided, you may not receive a letter acknowledging receipt or completion of your NOI.

Home Phone:

Work/Cell Phone:

Email:

Retype Email:

*Required fields

I wish to be recognized as eligible to provide home instruction by selecting the option indicated below.(Check one of the following)

I have a high school diploma or a higher credential.

Requirements:

Parents must submit documentation. Can submit high school diploma, transcript or college degree. A GED (General Educational Development) is not accepted. Parents with a GED may file using the Statement option below.
Parents must submit a description of the curriculum.

I have the qualifications prescribed by the Board of Education for a teacher.

Requirements:

Parents must submit copy of teaching certificate or statement to this effect from the Board of Education.
Parents must submit a description of the curriculum.

I have enrolled my child in a correspondence course or distance learning program.

Requirements:

Provide proof of enrollment in a correspondence course or distance learning program. Proof of enrollment may be an acceptance letter from the correspondence school or a copy of a paid receipt.
Parent must submit program of study or curriculum.

I have attached a statement as to why I am able to provide an adequate education for my child or children.

Requirements:

Parents must submit a statement as to why they are able to provide an adequate education for the child.
Parent must submit a description of the curriculum.

*Required fields:

You have selected: I have a high school diploma or a higher credential.

There are two documentation requirements listed below.

1. Parents must submit documentation with a high school diploma, transcript, or college degree. At the bottom of this page, you may attach the documentation to your Notice of Intent. You will be given an email address and fax number upon completion of the Notice of Intent, which you may use to provide us with this information if you prefer.

I will mail, fax or email the documentation.

I registered my child last school year and provided the diploma to LCPS.

2. Parents must submit a description of the curriculum. You may enter up to 5,000 characters in the following text box OR attach supporting documentation. At the end of this form, you will be given an email address and fax number which you may use to provide us with this information as well. **Please be advised that your Notice of Intent will not be considered complete unless a description of the curriculum is provided.

If you would like to send us some supporting documents, please click 'Select' below to locate and upload a file. You may submit up to 10 documents as long as the size of each file does not exceed 2 megabytes. (.pdf, .jpg or .png files only)

Upload File(s):

You have selected: I have the qualifications prescribed by the Board of Education for a teacher.

There are two documentation requirements listed below.

1. Parents must submit a copy of teaching certificate or statement to this effect from the Board of Education. At the end of this form you will be given an email address and fax number which you may use to provide us with this information.

2. Parents must submit a description of the curriculum. You may enter up to 5,000 characters in the following text box OR attach supporting documentation in the space provided below. At the end of this form, you will be given an email address and fax number which you may use to provide us with this information as well. **Please be advised that your Notice of Intent will not be considered complete unless a description of the curriculum is provided.

If you would like to send us some supporting documents, please click 'Select' below to locate and upload a file. You may submit up to 10 documents as long as the size of each file does not exceed 2 megabytes. (.pdf, .jpg or .png files only)

Upload File(s):

You have selected: I have enrolled my child in a correspondence course or distance learning program.

There are two documentation requirements listed below.

1. Provide proof of enrollment in a correspondence course or distance learning program. Proof of enrollment may be an acceptance letter from the correspondence school or a copy of a paid receipt.

2. Parents must submit a description of the curriculum. You may enter up to 5,000 characters in the following text box OR attach supporting documentation in the space provided below. At the end of this form, you will be given an email address and fax number which you may use to provide us with this information as well. **Please be advised that your Notice of Intent will not be considered complete unless a description of the curriculum is provided.

If you would like to send us some supporting documents, please click 'Select' below to locate and upload a file. You may submit up to 10 documents as long as the size of each file does not exceed 2 megabytes. (.pdf, .jpg or .png files only)

Upload File(s):

You have selected: I have attached a statement as to why I am able to provide an adequate education for my child or children.

There are two documentation requirements listed below.

1. Parents must submit a statement as to why they are able to provide an adequate education for the child.

2. Parents must submit a description of the curriculum. You may enter up to 5,000 characters in the following text box OR attach supporting documentation in the space provided below. At the end of this form, you will be given an email address and fax number which you may use to provide us with this information as well. **Please be advised that your Notice of Intent will not be considered complete unless a description of the curriculum is provided.

Description of Curriculum:

If you would like to send us some supporting documents, please click 'Select' below to locate and upload a file. You may submit up to 10 documents as long as the size of each file does not exceed 2 megabytes. (.pdf, .jpg or .png files only)

Upload File(s):

Part Time Enrollment only applies for 7th to 12th grade, please click next!

Are you applying for part-time enrollment? Yes No

According to School Board Policy 8115-REG regarding non-public students, students in grades 7 through 12 who are approved for home instruction, (does not include Religious Exemption or Tutoring) may enroll on a part-time basis in certain high school credit courses. These students may participate in a maximum of two courses per school term. High school credit courses available to these students are as follows:

7th Graders — Algebra I and foreign language
8th Graders --- Algebra I, Geometry, foreign language, and Technology of Robotic Design
9th - 12th Graders --- Mathematics, science, English, history, social science, career and technical education, fine arts, foreign language, and health education or physical education courses

In order to apply for part-time enrollment, parents must submit a completed application to the principal of the school by August 1 for the first semester and December 1 for courses beginning in the second semester. Students must meet prerequisite requirements to be enrolled in a course by appropriate credits earned through an accredited program. There may be situations where schools will determine that students who have not earned credit in a course demonstrate the prerequisite skills necessary to take higher level courses. These determinations will be made using teacher recommendations as well as competency tests.

Students will be expected to attend the school that serves their area of residence. If a requested course is not being offered in the student’s base school, the parent may request special permission to attend another school.

Part-time students must participate in co-curricular activities that are required as a result of enrollment in certain courses (orchestra, band, chorus, drama, etc.). Part-time students may not participate in extra-curricular activities, such as those sponsored by the Virginia High School League (athletics, cheerleading, One Act Plays, etc.). Students will be granted part-time enrollment under the conditions that all Loudoun County Public School policies and regulations are followed and that transportation will be provided by the family.

Forms for partial enrollment may be obtained through the middle or high school that serves your area of residence or you may click the following link to download the form: Application for Part-Time Enrollment

Your request is now complete and summarized below. If you agree with the information entered below, please check the "I Understand" and "I Certify" checkboxes below and click on the Submit button.

School Year: 2023-2024

Student First Name:

Student Last Name:

Birth Date: -

Student Grade:

Address:

Mailing Address If Different:

Mailing Address Line 1:

Mailing Address Line 2:

City:

State:

Zipcode:

Request Type:

Parent First Name:

Parent Last Name:

Parent Email:

Home Phone:

Work/Cell Phone:

No. of documents to upload:

Part-time Enrollment Requested:

You have selected: I have a high school diploma or a higher credential.

1. Parents must submit documentation with a high school diploma, transcript, or college degree. At the bottom of this page, you may attach the documentation to your Notice of Intent. You will be given an email address and fax number upon completion of the Notice of Intent, which you may use to provide us with this information if you prefer.

2. Parents must submit a description of the curriculum. You may enter up to 5,000 characters in the following text box OR attach supporting documentation in the space provided below. At the end of this form, you will be given an email address and fax number which you may use to provide us with this information as well.