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The password must have at least 8 characters, at least 1 digit(s), at least 1 lower case letter(s), at least 1 upper case letter(s), at least 1 special character(s) such as *, -, or #
Password
Email address
Email (again)
First name
Last name
City/town
Country
Select a country
Afghanistan
Åland Islands
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Anguilla
Antarctica
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Australia
Austria
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Bangladesh
Barbados
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Belize
Benin
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Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
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Burundi
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Chile
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Cook Islands
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Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
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El Salvador
Equatorial Guinea
Eritrea
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Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
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Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
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Hong Kong
Hungary
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India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
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Korea (the Democratic People's Republic of)
Korea (the Republic of)
Kuwait
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Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
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Malawi
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Mali
Malta
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Mayotte
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Nepal
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Nigeria
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Panama
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Poland
Portugal
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Qatar
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Romania
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Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
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Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
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Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
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Turks and Caicos Islands
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Ukraine
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Uruguay
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Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Parent Information
Parent Information
Parent Information
Name of Parent/ Guardian:
Name of Second Parent/ Guardian:
Parent Phone Number
Child's Date of Birth
Child's Date of Birth
Child's Date of Birth
Date of Birth:
Date of Birth:
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
What is the date of the annual evaluation? (It is the anniversary of when you sent your letter of intent in to the County School Administrator)
What is the date of the annual evaluation? (It is the anniversary of when you sent your letter of intent in to the County School Administrator)
What is the date of the annual evaluation? (It is the anniversary of when you sent your letter of intent in to the County School Administrator)
Annual Date of Evaluation:
Annual Date of Evaluation:
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2020
2021
2022
2023
2024
Month of Evaluation
January
February
March
April
May
June
July
August
September
October
November
December
No Longer Homeschooling
No Longer Evaluating Student
Graduated High School
PEP Scholarship
Students Full Address as you want it to appear on the Letter.
Students Full Address as you want it to appear on the Letter.
Students Full Address as you want it to appear on the Letter.
House Number and Street
Address-Line 2:
City, State Zip:
What County is your child registered in?
Select a County
Alachua County
Baker County
Bay County
Bradford County
Brevard County
Broward County
Calhoun County
Charlotte County
Citrus County
Clay County
Collier County
Columbia County
DeSoto County
Dixie County
Duval County
Escambia County
Flagler County
Franklin County
Gadsden County
Gilchrist County
Glades County
Gulf County
Hamilton County
Hardee County
Hendry County
Hernando County
Highlands County
Hillsborough County
Holmes County
Indian River County
Jackson County
Jefferson County
Lafayette County
Lake County
Lee County
Leon County
Levy County
Liberty County
Madison County
Manatee County
Marion County
Martin County
Miami-Dade County
Monroe County
Nassau County
Okaloosa County
Okeechobee County
Orange County
Osceola County
Palm Beach County
Pasco County
Pinellas County
Polk County
Putnam County
St. Johns County
St. Lucie County
Santa Rosa County
Sarasota County
Seminole County
Sumter County
Suwannee County
Taylor County
Union County
Volusia County
Wakulla County
Walton County
Washington County
Check each box.
Check each box.
Check each box.
I spelled the Child's first and last name correctly.
I created a new account for each child.
Parent Compliant with Statute 1002.41
Parent Compliant with Statute 1002.41
Parent Compliant with Statute 1002.41
Do you keep a log of educational activities and work completed as required by Florida Statute 1002.41? It specifies the responsibilities of parents who establish a home education program to (1) Maintain a portfolio of educational records. Statute defines a portfolio as (a)A log of educational activities which is made contemporaneously with the instruction and which designates by title any reading materials used, and (b)samples of any writings, worksheets, workbooks or creative materials used or developed by the student. (2)The portfolio shall be available for inspection by the superintendent upon 15-day written notice (The statute does not require the superintendent to inspect all portfolios). (3) You agree to preserve each student's portfolio for two years. If you answer no to this question, I will not be able to provide you with a portfolio evaluation. As per Statute 1002.41 A Florida certified teacher chosen by the parent may evaluate the child's progress based on a review of the portfolio and discussion with the student.
Choose...
Yes
No
To the best of your knowledge do you believe the above named student, in accordance with ss. 1002.41, has demonstrated progress at a level commensurate with his/her ability and is ready to continue instruction at the next level.
Choose...
Yes
No
Referral
Referral
Referral
How did you find Easy Florida Homeschool Evaluation? If it is a friend, please give the name of the referring family.
Required