Year End Form
School Year *
Student Name *
Grade Level *
Additional Student Name
Grade Level
Additional Student Name
Grade Level
Additional Student Name
Grade Level
Additional Student Name
Grade Level
Primary Parent/Teacher Name *
Secondary Parent/Teacher Name
Email Address *
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Phone Number *
Mailing Address *
Did the primary parent/teacher have a high school diploma/GED? *
Did the homeschool document at least 180 days between June 1 and May 31? *
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? *
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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