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Homeschool Affidavit

Here in Pennsylvania, we have to submit an "Affidavit of the Supervisor of a Home Education Program" to the district prior to starting each school year (if our children are of compulsory school age).

This is the one I use. This form and many other useful forms like it can be found at www.askpauline.com -a wonderful resource for PA homeschoolers!


Supervisor’s Name: ________________________________________.

Address of the home education program site:

Phone number of the home education program site:

Student’s Name __________________________________ Age ________.

I attest that I am the parent, guardian, or legal custodian of the student.

I attest that I am the supervisor of the home education program and am responsible for the provision of instruction in the home education program.

I attest that I have earned a high school diploma or its equivalent.

I attest that the subjects required by law will be offered in the English language.

I attest that the student has received the immunizations required by law, or that the student has a medical, religious, or philosophical exemption.

I attest that the student has received the health and medical services required by law for students of the child’s age or grade level or is exempt from such.

I attest that no adult living in the home, or any person having legal custody of the student, has been convicted within five years of today’s date of any of the criminal offenses enumerated in Section 111 of the Pennsylvania Consolidated Statutes.

I attest that the home education program shall comply with the provisions of Section 13-1327.1 of Pennsylvania Statutes Annotated and that the notarized affidavit shall be satisfactory evidence thereof.

Supervisor’s signature: _________________________________________


...And that's it! Feel free to copy/print and use if applicable to your homeschool. The child's grade level need not be provided. The GED/High School Diploma need not be attached (although some districts will push for one anyway and it's up to you whether you want to just comply with such a minor request). Some districts may push for medical records. I personally decided to type a brief letter saying "So and so is a patient of mine. Her medical services and immunizations are up to date for her age and grade level. Her records are on file at my office." and I handed that in to the district.

As the homeschool/academic year runs from July 1st of one year to June 30th of the next, the Affidavit should be received by the district by June 30th. (I usually drop it off at the same time I am dropping off the previous year's evaluation certification so that I can kill two birds with one stone). (If you are pulling your child out of school mid-year, you just do it prior to pulling the child out).

In addition to the Affidavit, PA homeschoolers need to simultaneously submit a set of "Proposed Educational Objectives by Subject Area."

The ones I submit can be viewed here and can also be used freely if applicable to your homeschool:


The Affidavit and Objectives can be sent to your district certified mail, return receipt requested, or you can drop them off in person. I usually drop mine off in person, and I bring with me a short, typed, itemized list of the things that I am dropping off, and I ask the secretary to sign that she received them.




Shawn - 40, Husband, Dad, Tattoo Artist, Body Piercer, Business Owner, Saltwater Aquarium Enthusiast, Cook, Mr. Fix-It.

Nance - 41, Wife, Homeschooling Mom, Bookworm, Writer, Field Tripper, List Maker, Planner, Chauffeur.

Melissa - 22, Special Needs. Is in a sheltered workshop/life skills day program. Likes music, movies, shopping, and reading.

Alexa - 14, Left public school in March of 2009 and has been home since, happily homeschooling with Oak Meadow and an eclectic mix of other things. Currently in 8th grade. Enjoys reading, writing, art, singing and music, theater/performing, doing her nails, and sleepovers with friends.

Ben - 9, Has never been to any outside school. Currently doing 3rd grade at home. Enjoys computer, video and board games, especially Minecraft and shooter games, silly jokes, soccer, rough-housing, and occasional cuddling and reading.

Adelaide - 15 months and my little ray of sunshine. :) Enjoys pointing at things, chasing the cat, trying to pull all the books off my bookshelves, eating, playing, and snuggling.

We are a relaxed/eclectic, secular homeschooling family living in Pennsylvania and thoroughly enjoying Life Without School!


Alexa is using: Oak Meadow 8 Civics; Oak Meadow 8 English; Oak Meadow Basic Physical Science; Story of the World Middle Ages; and Teaching Textbooks Math Pre-Algebra.

Ben is loosely using the Oak Meadow 3rd Grade curriculum (minus the math), Teaching Textbooks Math 3, and Reading Eggspress.

I've always been a fairly relaxed homeschooler. While I've buckled down more this year with my 8th grader, in general we do school around life, not life around school. We use mainly a fun, hands on curriculum that isn't overly time consuming and isn't dry or textbookish, and we're always willing to drop it for the time being if something fun, interesting, or educational comes up outside the house. Living is learning!


Welcome To My Blog!


The ABCs Of Relaxed Homeschooling

A Perfect Day

Affidavits, Objectives & Samples, Oh My!

A Kindergarten Dropout

Homeschooling, A Year Later

Preschool Or Not?

I Wouldn't Have It Any Other Way

A Day In The Life Of A New Homeschooler

Homeschool Poem

What Does A Homeschooler Do Every Day?

What Does A Homeschooler Do Every Day Part 2

What About Socialization?

Why Homeschool?!

Dear Judy Molland

What I Really Mean When I Say I Homeschool


Funnix Beginning Reading Program Review

Getting Started With Spanish Review

Growing, Growing Strong Review

Insect Lore Negative Review

Life of Fred Math Review

Little Passports Review

Meet The Masters Review

Movie Review: Snowmen

Oak Meadow Review

Sentence Composing For Elementary School Review

Story Of The World Review

Teaching Textbooks Math Review

Times Tales Review

Typing Instructor For Kids Platinum Review


Alexa's Third Grade Book Log

Alexa's Fourth Grade Book Log

Alexa's Fifth Grade Book Log

Alexa's Sixth Grade Book Log, Year 1

Alexa's Sixth Grade Book Log, Year 2

Alexa's Seventh Grade Book Log

Alexa's Eighth Grade Book Log

Ben's Pre-K Book Log

Ben's Kindergarten Book Log

Ben's First Grade Book Log

Ben's Second Grade Book Log

Ben's Third Grade Book Log


Oak Meadow Kindergarten Schedule Sample, With Pics

Oak Meadow 4th Grade Schedule Sample, With Pics

Oak Meadow 5th Grade Schedule Sample, With Pics

Our 6th Grade Stretched Over Two Years Plan

Some Of Our Most Fun/Interesting Projects & Activities, Oak Meadow 5th Grade


Homeschool Affidavit

Homeschool Objectives, Elementary and Secondary Level

Homeschool Portfolio, UPDATED

Summary, To Include With Portfolio, Example 1

Summary, To Include With Portfolio, Example 2

Standardized Test Results


Books Featuring Homeschooled Characters, Titles A-I

Books Featuring Homeschooled Characters, Titles J-R

Books Featuring Homeschooled Characters, Titles S-Z

52 Books In 52 Weeks, Mom & Daughter Style, 2011

Homeschooling Quotes & Funnies

Our Fresh Air Fund Experience

Funny Things Alexa Has Said

Funny Things Ben Has Said

My Favorite Links

How I Got Alexa's Eczema Under Control!

My TTC, Pregnancy, and Miscarriage Saga, PART 1

My TTC, Pregnancy, and Miscarriage Saga, PART 2

My TTC, Pregnancy, and Miscarriage Saga, Part 3

The Family Who Wouldn't Change The Toilet Paper


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