Revised 10/2003 Valid For One Year
Louisiana Department of Education
Non-Approved Registration Form
In Accordance with R.S. 17:221.3, 17:232.C and D, and 17:236
Pursuant to R.S. 17:232.C. Non-approved private schools must notify the Louisiana Department of Education of the school’s existence as of the 30th day of their school term or session.
Pursuant to R.S. 17:232.D. It is mandated that each school in the state of Louisiana, both public and nonpublic, upon the request of the city or parish public school system within which the school is located, report whether any individual student is enrolled in such school and whether such pupil is fulfilling the compulsory attendance requirements provided under R.S. 17:221.
Instructions
Please print or type the information and return both the original and a copy.
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_____________________________ Name of School Representative_____________________________ Street Address/P.O. Box ___________________________ ________________ City, State, Zip Code Parish (_____)______________________ Telephone |
School Year _______________
Total Enrollment _______
IMPORTANT NOTICE: Students enrolled in a Non-approved private schools are not eligible for the Tuition Opportunity Program for Students (TOPS).
Name of School: __________________________________________
(Optional)
I hereby certify that written notification(s) of enrollment for every student who attended a public school immediately prior to his/her enrollment in this non-approved private school, including students who attended public schools at the end of the previous school year, has (have) been provided to said public school(s) in accordance with R.S. 17:221.3; that, pursuant to R.S. 17:236, the school operates a minimum session of not less than one hundred and eighty days.
___________ ________________________________________
(DATE) Signature of School Representative
PLEASE RETURN APPLICATION TO:
ATTN: Home Study Program
Louisiana Department of Education
Baton
Rouge, Louisiana 70804