Request edit access
South Glens Falls Central School District - Letter of Intent to Homeschool (LOI) Form - New to Homeschooling for 2024-2025
The WSWHE BOCES provides a Home Education Coordination Service to the South Glens Falls School District to facilitate the collection and review of forms related to Commissioner's Regulations Part 100.10  If you have questions about any aspects of the home schooling process, please contact homeschool@wswheboces.org or call 518-581-3735. 
Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian Name *
Street Address  *
City *
Zip Code  *
Your Phone Number (numbers only) *
Please use the fields below to list the child or children you are intending to homeschool.  Please include each child's full name, date of birth and anticipated grade level.  

Child #1 First and Last Name 
*
Child #1 Date of Birth *
MM
/
DD
/
YYYY
Child #1 Grade Level (upcoming school year) *
Child #2 First and Last Name
Child #2 Date of Birth
MM
/
DD
/
YYYY
Child #2 Grade Level (upcoming school year)
Child #3 First and Last Name 
Child #3 Date of Birth
MM
/
DD
/
YYYY
Child #3 Grade Level (upcoming school year)
Child #4 First and Last Name 
Child #4 Date of Birth
MM
/
DD
/
YYYY
Child #4 Grade Level (upcoming school year)
Child #5 First and Last Name 
(For additional children, please submit an additional response.  Thank you.)
Child #5 Date of Birth
MM
/
DD
/
YYYY
Child #5 Grade Level (upcoming school year)
AFFIRMATION
By entering my name in the box below, I am affirming my intention to provide home education for the 2024-2025 School Year to the student(s) listed in the table above, as per the education requirements of New York State Education Law as stated in Commissioners Regulations Part 100.10  (Please use the link above to access a copy of these regulations)
*
DATE OF AFFIRMATION
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of WSWHE BOCES. Report Abuse