NOTICE  OF  INTENT  TO  OPERATE  A  SCHOOL
Private Elementary/Secondary Conventional School

 
Please complete and mail before the school begins
initial operation (preferably 30-60 days in advance) to:

Conventional Schools Section
NC Division of Non-Public Education
1309 Mail Service Center
Raleigh, N.C. 27699-1309

ATTACH non-returnable, photocopied documentation indicating that the school facility has already met local and state fire safety and sanitation requirements.
 

1.
 County of school location  
2.
 School name  
3.
 US Mail address:  Street or PO Box  
  City, state, zip code  
4.
 School telephone number (          )
5.
 School owner  
6.
 Chief administrator  
7.
 Month & year school will begin  
8.
 Grade levels to be initially offered  
9.
 Religious or  Independent  

         I hereby send formal notice of the opening of the above named conventional non-public school (elementary/high school) as required by Chapter 115C, Subchapter X, Article 39 of the North Carolina General Statutes.
 

Date: Mr./Mrs./Miss:

DIRECTIONS TO SCHOOL FROM NEAREST MAJOR HIGHWAY: