Notice of Intent to Operate A School
HOME SCHOOL

  Please complete this form in ink and send to:

 N.O.I. Section
 NC Division of Non-Public Education
 1309 Mail Service Center
 Raleigh, NC  27699-1309

ATTACH  non-returnable, photocopied evidence that the persons named on lines numbered 6 & 7 hold at least a high school diploma or its equivalent.  Allow up to 30 days for processing.

1.

County in which home is located

 

2.

Home school name

 

3.

US Mail home address (Street or Box #)

 

 

City, state, zip code

 

4.

Home telephone number

(               )

5.

School owner

 

6.

Chief administrator

 

7.

Full names of persons providing academic instruction

 

8.

Current age(s) of student(s) to be enrolled

 

9.

Month & year school will begin initial operation

 

10.

Do you elect to operate under Part 1 (religious) or under Part 2 (non-religious) of Article 39?  One must be selected.

 

       I hereby send formal notice of the opening of the above named home school as required by Chapter 115C, Article 39 of the North Carolina General Statutes.

Date: __________________________

Mr./Mrs./Miss: _______________________________________________
                                                                                                                      Signature of chief administrator

Please note that when providing information to DNPE, it becomes a public record in accordance with G.S. 132-1 and 132-6.  The home school's post office box number may be entered on line 3 above in lieu of its physical address.

DIRECTIONS TO SCHOOL FROM NEAREST MAJOR HIGHWAY: