This document is used to capture and archive the Home Education Notification information provided.
This document is divided into the following sections.
The document header is included on the first (and only the first) page of the document, before the content of the document.
The Document Header will contain the following information:
Home Education Notification |
This section of the document is used to detail the general Home Education information submitted.
I am notifying Alberta Education that I, {Parent /Guardian Name}, will be providing a home education program that is not under the supervision of an associate board or associate private school to {Student Name} for the {School Year} school year in accordance with the Home Education Regulation. Submission of Notification date: {Submitted On} |
The following data is included in this section of the document.
Parent/Guardian Name | This placeholder will be replaced by Home Education Notification Parent Signature. |
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Student Name | This placeholder will be replaced by the Full Name of the Home Education Notification Preferred Name. |
School Year | This placeholder will be replaced by Home Education Notification School Year. |
Submitted On | This placeholder will be replaced by Time. |
This section of the document is used to detail the student information submitted.
PART A - Student Information
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The following data is included in this section of the document.
Provided ASN | This placeholder is replaced by Home Education Notification Provided ASN. |
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Legal Name | This placeholder is replaced by Home Education Notification Legal Name. |
Preferred Name | This placeholder is replaced by Home Education Notification Preferred Name. |
Birth Date | This placeholder is replaced by Home Education Notification Birth Date. |
Gender | This placeholder is replaced by Home Education Notification Gender. |
Home Phone | This placeholder is replaced by Home Education Notification Student Home Phone Number. |
Cell Phone | This placeholder is replaced by Home Education Notification Student Cell Phone Number. |
Mailing Address | This placeholder is replaced by Home Education Notification Student Address. |
Resident School Board | This placeholder is replaced by Home Education Notification Resident School Board. |
Canadian Citizenship | This placeholder is replaced by one of the following values based on Home Education Notification Is Canadian Citizen:
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Student Document Type | This placeholder is replaced by Home Education Notification Student Document Type. |
This section of the document is used to detail the student information submitted.
PART B - Parent/Guardian Information
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The following data is included in this section of the document.
Parent Name | This placeholder is replaced by Home Education Notification Parent Name. |
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Relationship | This placeholder is replaced by Home Education Notification Relationship to Student . |
Home Phone | This placeholder is replaced by Home Education Notification Parent Home Phone Number. |
Cell Phone | This placeholder is replaced by Home Education Notification Parent Cell Phone Number. |
Work Phone | This placeholder is replaced by Home Education Notification Parent Work Phone Number. |
Email Address | This placeholder is replaced by Home Education Notification Parent Email Address. |
Mailing Address |
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Parent Document Type | This placeholder is replaced by Home Education Notification Parent Document Type. |
This section of the document is used to detail the declaration captured by the parent/guardian.
I, {Parent/Guardian Name}, confirm that I am the parent/guardian of {Student Name}.
I confirm, to the best of my knowledge, that the home education program and the activities I have selected for the home education program will enable the Student to (check only one): By checking the following box and submitting this notification form, I agree to all the following conditions: I am choosing to provide a home education program that is not under the supervision of an associate board or associate private school and that the development, administration, management of the home education program is my responsibility.
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The following data is included in this section of the document.
Parent/Guardian Name | This placeholder is replaced by Home Education Notification Parent Signature. |
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Student Name | This placeholder is replaced by Home Education Notification Preferred Name. |
Parent Outcome 1 | This placeholder is replaced by Home Education Notification Is Declaration Outcome 1 Checked. |
Parent Outcome 2 | This placeholder is replaced by Home Education Notification Is Declaration Outcome 2 Checked. |
The document footer is included on the last (and only the last) page of the document, after the content of the document and before the page footer.
Submitted By: {Email Address} |
The following data is included in the document footer.
Email Address | This placeholder is replaced by Home Education Notification Parent Email Address. |
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Submitted On | This placeholder is replaced by Time. |