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RICHLAND COUNTY SCHOOL DISTRICT ONE

Medical Homebound Instruction Program

1310 Lyon Street, B9, Columbia, SC 29204

Telephone: (803) 231-6904 * Fax: (803) 231-7180 * Mail Code #625

STUDENT PROGRESS REPORT

Student _________________________________________ Grade _______________________

School ___________________________________ Homebound Teacher _____________________

Dates: Beginning __________________________ Ending _______________________________

month/day/year month/day/year

CHECK ONE: [ ] 4 ½ Weeks Report [ ] 9 Weeks Report [ ] Final Report

PLEASE NOTE: THIS FORM MUST BE TURNED IN (AT LEAST ONCE) REGARDLESS OF THE AMOUNT OF TIME SPENT WITH THE HOMEBOUND STUDENT. FINAL HOMEBOUND SUPPLEMENT WILL NOT BE ISSUED UNTIL COMPLETE. Nine weeks report and final reports are due five (5) days before a marking period ends.

Comments on work completed, student status, benefit of instructional support, etc. (if grades are awarded solely by the classroom teacher, please indicate):

FINAL GRADES AS ASSESSED BY HOMEBOUND TEACHER

Subject Grade

1. _______________________________ _________

2. _______________________________ _________

3. _______________________________ _________

4. _______________________________ _________

5. _______________________________ _________

6. _______________________________ _________

7. _____________________________________ ___________

8. _____________________________________ ___________

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