Form 3114F PDF Details

Every year, families who choose to take a different path in educating their children embark on the journey of home-based instruction, stepping away from traditional public or private schooling. Integral to this process in the Pullman School District is the 3114F form, a Declaration of Intent to Provide Home-Based Instruction. This form represents a crucial step for parents, guardians, or legal custodians who opt to educate their children at home, ensuring they comply with the legal requirements set forth in chapter 28A.225 RCW Compulsory Attendance. By filling out this form, they affirm their commitment to oversee their children's education between the ages of 8 and 18, within the home environment. It encompasses a declaration that outlines the child(ren)'s names, dates of birth, and an indication of whether a Washington State certificated individual will supervise the instruction, adhering to chapter 28A.410 RCW guidelines. Notably, this declaration isn’t a one-time affair but an annual requirement. It must be submitted by September 15 or within two weeks of the beginning of any public school quarter, trimester, or semester, marking each year of the child's home-based educational journey. This commitment to educational excellence outside the traditional school setting is sent directly to the superintendent of the Pullman School District, ensuring that all legal requirements for home-based instruction are stringently met, supporting parents in their right to choose the most fitting educational path for their children.

QuestionAnswer
Form NameForm 3114F
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesDeclaration of Intent to Homeschool pullman school district homeschooling form

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Pullman School District Form

3114F

 

 

STUDENTS

Declaration of Intent to Provide Home-Based Instruction

A parent who intends to cause his/her child(ren) to receive home-based instruction in lieu of attendance or enrollment in a public school, approved private school, or an extension program of an approved private school must file an annual declaration of intent to do so in the format prescribed below:

I do hereby declare that I am the parent, guardian, or legal custodian of the child(ren) listed below; that said child(ren) is (are) between the ages of 8 and 18 and as such are subject to the requirements found in chapter 28A.225 RCW Compulsory Attendance; I intend to cause said child(ren) to receive home-based instruction as specified in RCW 28A.225.010(4); and if a certificated person will be supervising the instruction, I have indicated this by checking the appropriate space.

Child(ren)’s Name(s)

Date of Birth

[] The home-based instruction will be supervised by a person certificated in Washington State pursuant to chapter 28A.410 RCW.

Signature

Date

Street Address

City, State, Zip Code

NOTE: This statement must be filed annually by September 15 or within two weeks of the beginning of any public school quarter, trimester, or semester with the superintendent of the Pullman School District.

Send to:

Paul Sturm, Superintendent

 

Pullman School District

 

240 SE Dexter Street

 

Pullman WA 99163