Application and Notice of Intent to Pursue A Program of Homeschooling

Application and Notice of Intent to Pursue A Program of Homeschooling
Email*
example@example.com
School Year for which approval is sought:*

2025 - 2026 School Year
Is your child currently being HOMESCHOOLED within the Arlington school district?*
Is your child currently enrolled in a school within the Arlington Public School District*
Please select the school your child is currently enrolled at. *
Was your end of year '24-'25 homeschool progress report approved?*

YesNo
If you have not submitted and received approval of an end-of-year progress report for the previous school year, you must do that before continuing. Your application could be denied if this report is not on file with the Deputy Superintendent's office. Email homeschool@arlington.k12.ma.us if you need assistance.
Student's Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Date
Grade Entering*
Please select the grade your child will be entering, not the grade they are currently in.
Special Education Needs*

My child is eligible for Special Education Services via an IEP and I would like my child to receive services during the upcoming school year.My child is eligible for Special Education Services via an IEP but I am declining services for the upcoming school year.I suspect that my child may have a disability and I would like to request Special Education evaluations.I do not have any need for Special Education evaluations or services at this time.
My child is eligible for Special Education Services via an IEP and I would like my child to receive services during the upcoming school year.
My child is eligible for Special Education Services via an IEP but I am declining services for the upcoming school year.
Does your child currently have a 504 plan?*
Parent/Guardian Name 1*

First NameLast Name
Parent/Guardian Name 2

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Email Address 2
example@example.com

Education Plan and Academic Background
Please describe the instructional program to be taught, including goals and objectives for all subjects, time allocation per week, and instructional materials and supports to be used.*
Please note: Massachusetts State Law requires a minimum of 900 hours for elementary and 990 for secondary per year of instructional time.
Please describe the academic background, life experience and/or qualifications of the person(s) who will be instructing the child(ren), as they relate to the instructional program described.*
What method of progress reporting will you use?*

Daily logs, journals, portfolios or dated work samplesAn independent report of academic progress made by someone acceptable to both the Deputy Superintendent and parent(s)/guardian(s)Standardized test resultsAnother Method agreed upon by both the Deputy Superintendent and home educators
What other method of progress reporting will you use? *
Optional Upload

Please upload any additional supporting documents here.
Cancelof
Signature*

Clear
The following electronic signature confirms the intent to provide the minimum number of hours of instruction per year as listed in the Home Schooling Procedure.
Should be Empty:

Application and Notice of Intent to Pursue A Program of Homeschooling

Education Plan and Academic Background