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We Need to Know!!
Please know, we are not asking about home schooling, virtual or requesting virtual. Read each question carefully
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Did you seek HOME INSTRUCTION accommodations from your District?
Yes
No
If you answered NO to question 1, please tell us why not
Your answer
If you answered YES to question 1 , Were you approved?
Yes
No
Does your child have a medical condition or disability?
Yes
No
Does your child have an IEP, 504 or IHP?
IEP
504
IHP
None
Clear selection
If you were denied Home instruction what was the reason?
Your answer
Is there someone in the home other than the child that made you apply for accommodations?
Parent Safety
Sibling Safety
Grandparent Safety
Others Safety
Clear selection
If for other than the child, were you approved?
Yes
No
If you were given HOME INSTRUCTION, is it Virtual or In Home Instruction?
Virtual
In Home
If you were approved, How many hours a week are you getting?
Less than 1
2
3
4
5
6
7
8
9
10
More than 10
Were you given Home Instruction for One child and not another living in your home? (Please indicate under the next question if either child has a condition or receives services through your district)
Yes I have more than one child and only one child was accommodated
No - All children received Home Instruction
If there is something we did not cover, Please type it in here.
Your answer
WHAT DISTRICT AND COUNTY ARE YOU IN?
Your answer
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