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End Of Year Form
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* Indicates required question
School Year
*
2018-2019
How Many Students?
*
Your answer
Student Name
*
Your answer
Grade Level
Your answer
Additional Student Name
Your answer
Grade Level
Your answer
Additional Student Name
Your answer
Grade Level
Your answer
Additional Student Name
Your answer
Grade Level
Your answer
Primary Parent/Teachers Name
*
Your answer
Secondary Parent/Teachers Name
*
Your answer
Best Email Address
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Your answer
Mailing Address
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Your answer
Phone Number
*
Your answer
Did the homeschool document at least 180 days between June 1 and May 31?
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Yes
No
Did the curriculum include, but was not limited to, the basic instructional areas of reading, writing, mathematics, science, and social studies, and in grades seven through twelve, composition and literature?
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Yes
No
Did you follow the regulations that state educational records shall be maintained by the parent-teacher and include: (1) a plan book, diary, or other record indicating subjects taught and activities in which the student and parent-teacher engage; (2) a portfolio of samples of the student’s academic work; and (3) a semiannual progress report including attendance records and individualized documentation of the student’s academic progress in each of the basic instructional areas specified in item (c) above?
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Yes
No
Did the primary parent/teacher have a high school diploma/GED?
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Yes
No
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