Home School Affidavit In order to comply with the Florida Department of Education’s guidelines governing enrollment in college-level courses, Valencia must have the following affidavit completed and notarized. If you are unable to complete the affidavit, you will not be eligible for enrollment in college-level courses resulting in a degree or technical certificate until you receive a state issued General Education Diploma (G.E.D.). This affidavit is to certify that (Name of Student—please print clearly)
1. Is currently enrolled in* OR 2. Graduated from (MM/DD/YYYY)
a Home School Education Program that meets the requirements outlined in Florida Statutes 1003.43 and 1003.01(13). The above named home-schooled student is/was registered with the (Name of Florida County)
County Public School District**. I,
, being first duly (Name of Parent/Legal Guardian-please print clearly)
sworn, declare under penalty of perjury punishable by law as a misdemeanor, that the foregoing is true and correct.
(Signature of Parent or Legal Guardian)
(Date)
*Home-schooled students participating in the Dual Enrollment program at Valencia must send an official transcript with high school graduation date to the Admissions & Records Office or must submit a new affidavit with the high school graduation/completion date indicated in order to continue their education at Valencia or to obtain an official Valencia transcript.
**If student was home-schooled in another state, indicate that state here (completion of this affidavit certifies that the home-school program met/meets that state’s requirements):
Sworn to and subscribed before me the day of
20
Notary Public Signature My commission expires:
9/2008
Notary Seal