PASI Knowledge Base

Table of Contents

Home Education Notification PDF

This document is used to capture and archive the Home Education Notification information provided.

This document is divided into the following sections.

Document Header

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 document contains the information provided by a parent/guardian as submitted via myPass.

Home Education Registration Information

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.
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.

Student Information

This section of the document is used to detail the student information submitted.

PART A - Student Information

Alberta Student Number (ASN) {Provided ASN}
Legal Name {Legal Name}
Preferred Name {Preferred Name}
Date of Birth {Birth Date}
Gender {Gender}
Home Phone Number {Home Phone}
Cell Phone Number {Cell Phone}
Mailing Address {Mailing Address}
Resident School Board {Resident School Board}
Canadian Citizenship {Canadian Citizenship}
Identity Document {Student Document Type}

The following data is included in this section of the document.

Provided ASN This placeholder is replaced by Home Education Notification Provided ASN.
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:

  • Yes - This student is a Canadian Citizen
  • No - This student is not a Canadian Citizen
Student Document Type This placeholder is replaced by Home Education Notification Student Document Type.

Parent/Guardian Information

This section of the document is used to detail the student information submitted.

PART B - Parent/Guardian Information

Name {Parent Name}
Relationship to Student {Relationship}
Home Phone Number {Home Phone}
Cell Phone Number {Cell Phone}
Work Phone Number {Work Phone}
Email Address {Email Address}
Mailing Address {Mailing Address}
Identity Document {Parent Document Type}

The following data is included in this section of the document.

Parent Name This placeholder is replaced by Home Education Notification Parent Name.
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
Parent Document Type This placeholder is replaced by Home Education Notification Parent Document Type.

Parent/Guardian Declaration

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):
{Parent Outcome 1} achieve the outcomes contained in the Alberta Programs of Study.
{Parent Outcome 2} achieve the outcomes contained in the Schedule included in the Home Education Regulation.

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.

  • The instruction and evaluation of the Student’s progress towards the applicable outcomes is my responsibility.
  • I am not eligible to receive any home education funding for the Student from Alberta Education.
  • The Director, as defined in the Home Education Regulation, may conduct an investigation if the Director has reason to believe the home education program I am providing is not in accordance with the Home Education Regulation or does not provide the Student with a reasonable opportunity to achieve the applicable outcomes. During an investigation, an investigator may collect, directly or indirectly, use and disclose information, including personal information, for the purposes of the investigation.
  • There may be implications to choosing a home education program that is not under the supervision of an associate board or associate private school or does not follow the Alberta Programs of Study, including:
    • the Student may not apply to a high school principal for high school credits,
    • the Student may not receive an Alberta High School Diploma, and
    • the Student may not necessarily be placed at the same grade level if the student registers in another school.

The following data is included in this section of the document.

Parent/Guardian Name This placeholder is replaced by Home Education Notification Parent Signature.
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}
Date: {Submitted On}

The following data is included in the document footer.

Email Address This placeholder is replaced by Home Education Notification Parent Email Address.
Submitted On This placeholder is replaced by Time.
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