Application and Notice of Intent to Pursue A Program of Homeschooling
Email
*
example@example.com
School Year for which approval is sought:
*
2024 - 2025 School Year
Is your child is currently enrolled in a school within the Arlington Public School District
*
Please Select
Yes
No
Please select the school your child is currently enrolled at.
*
Please Select
Arlington High School
Bishop
Brackett
Dallin
Gibbs
Hardy
Menotomy Preschool
Ottoson
Pierce
Stratton
Thompson
Students Name
*
First Name
Last Name
Student Date of Birth
*
-
Month
-
Day
Year
Date
Grade Entering
*
Please Select
K
1
2
3
4
5
6
7
8
9
10
11
12
Please select the grade your child will be entering, not the grade they are currently in.
Does your child currently have an IEP?
*
Please Select
Yes
No
Parent/Guardian Name 1
*
First Name
Last Name
Parent/Guardian Name 2
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Email Address
*
example@example.com
Email Address 2
example@example.com
Back
Next
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 aids 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 in the instructional program above.
*
What method of progress reporting will you use?
*
Daily logs, journals, portfolios or dated work samples
An independent report of academic progress made by someone acceptable to both the Deputy Superintendent and parent(s)/guardian(s)
Standardized test results.
Another Method agreed upon by both the Deputy Superintendent and home educators
What other method of progress reporting will you use?
*
Signature
*
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.
Submit
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