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Seekonk Public SchoolsHome Education Plan ApplicationIn accordance with Massachusetts General Law Chapter 76 section 1 and Seekonk Public Schools’ Policy IHBG, parents/guardians may opt to education their child(ren) at home with advanced approval. The parent/guardian must submit, in writing, a letter indicating their intent to educate their child(ren) at home and complete this Home Education Plan Application. This letter and this application should be submitted to:Office of the Superintendent of SchoolsRe: Home Education Plan25 Water LaneSeekonk, MA 02771Part 1: Student/Guardian InformationStudent Name: FORMTEXT ?????Date of Birth: FORMTEXT ?????Address: FORMTEXT ????? Last Grade Completed: FORMTEXT ?????Last School Attended: FORMTEXT ?????Parent/Guardian Name: FORMTEXT ????? Phone: FORMTEXT ?????Address (if different from student): FORMTEXT ?????Part 2: Instructional InformationNumber of minutes to be devoted to home instruction on a weekly basis: FORMTEXT ?????Subject areas to be taught/learned: FORMTEXT ?????Name(s) of home instructors and their educational background demonstrating the ability to provide home instruction: FORMTEXT ?????In the chart below, please identify all texts/materials to be used for the home instruction, by subject area.Subject AreaTexts/Materials FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????In the chart below, please describe your plan for evaluation of your child’s progress in each subject area.Subject AreaProgress Evaluation Plan FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????-16329185783For Official Use OnlyDoes the plan provide information demonstrating competency of the teachers to meet the academic needs of the student?YesNoDoes the plan provide information demonstrating appropriate time being dedicated to the education of the student?YesNoDoes the plan provide information ensuring adequate texts, materials, methods, and subject matter to be covered?YesNoDoes the plan provide information ensuring adequate progress evaluation, including periodic tests?YesNo Signature of Assistant Superintendent for Teaching and LearningDateFor Official Use OnlyDoes the plan provide information demonstrating competency of the teachers to meet the academic needs of the student?YesNoDoes the plan provide information demonstrating appropriate time being dedicated to the education of the student?YesNoDoes the plan provide information ensuring adequate texts, materials, methods, and subject matter to be covered?YesNoDoes the plan provide information ensuring adequate progress evaluation, including periodic tests?YesNo Signature of Assistant Superintendent for Teaching and LearningDateSeekonk Public SchoolsHome Education PlanMemorandum of UnderstandingThe parent(s) shall submit reports, consistent with the Seekonk Public Schools’ marking periods, to the Assistant Superintendent for Teaching and Learning, indicating general areas of student study, the progress of the student in each of those areas and the amount of time spent on each subject on a weekly basis during the quarter. Should the Assistant Superintendent for Teaching and Learning determine the reports to show insufficient progress, the parent shall be so notified and a meeting shall be convened to determine whether the approval shall be revoked.At the request of the Assistant Superintendent for Teaching and Learning, the parent(s) will present the student at a schedule convenient to the school designated, to participate in those system-wide assessments of progress which are administered to students at each grade level. The Seekonk Public Schools currently include assessments under Chapter 766, Basic Skills Assessments and achievement testing although grade level requirements for these tests vary.If requested, the parent(s) shall meet with the Assistant Superintendent for Teaching and Learning at the end of each year to review the student’s progress.The?parent(s)?shall?comply?with?such?reasonable?special?conditions?which?the?Assistant Superintendent for Teaching and Learning shall?require.Any?home?instruction?plan?must?be?approved?annually?if?the?student?is?to?continue?in?a?home?study program for more than one school year. Signature of Parent/GuardianDate Signature of Assistant Superintendent for Teaching and LearningDate ................
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