California Affidavit Questionnaire
Please fill out this questionnaire to the best of your ability.
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Email *
Have you ever filed a homeschool affidavit in California before? *
Your Full Name *
What would you like the name of your school to be? This can be any name you choose but there are some guidelines the California Department of Education asks you follow: (a) Omit “School” from school names except when it falls in the middle of a name (e.g. “Corona School of the Arts”). (b) Omit “The” from school names except when it falls in the middle of a name (e.g. “Corona School of the Arts”). (c) If initials are used for schools named after a person, include a space between initials. *
Do you have a CDS code? (Most people will say “no”.) *
If you answered "Yes" above, please state your CDS code.
What county are you in? *
What school district are you in? (This is the district in which your child would attend public school for their grade.) *
What is your school type? *
Required
Does your school provide special education?
Does your school provide a high school diploma? (I suggest saying “yes”) *
What is the lowest grade your school offers, regardless of lowest grade currently enrolled? *
What is the highest grade you school offers, regardless of highest grade currently enrolled? *
What is the classification of your school? Religious or non-religious? If religious, what faith? *
Do you have any other adults providing ongoing instruction in your homeschool? This could include another parent. Classes outside of your home do not count. If there is another adult, please provide their full name and address (if different from yours). *
What is your physical address? *
Is your mailing address different from your physical address? If so, please provide it below.
What is your phone number? *
Do you want to list a fax number for your school? If so, please provide it.
What is the primary email for the school? *
Would you like to enter a website for your school?
What are the ages and grades of your kids? *
Does your school have any tax exempt status? *
Do you give Jennifer Mahnaz permission to sign and submit this affidavit to the California Department of Education on your behalf? *
Please note that according to California education law, you should keep a copy of your PSA once filed, a record of  the courses you’re offering your kids, an attendance record for the year (you canmark simple x’s on a calendar), and vaccine records/waivers in your home. If you have questions about any of these records requirements, please reach out.
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