Notice of Intent to Homeschool Sample Letter by hoz13592

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									                                     Introduction
        Effective September 1, 1988, Regulations of the Commissioner of Education of
the State of New York established requirements for home instruction.

        This handbook has been developed to assist parents who choose to exercise their
right to home school their children in fulfilling their responsibilities as determined by
Education Law section 3212 (2) and to assist the Hammondsport Central School District
in determining competence and equivalence of instruction being provided to home
schooled students residing in our district as determined under Education Law sections
3204 (2) and 3210 (d).

       Parents should be advised that the completion of a program of home instruction
may not entitle their children to the same benefits as children attending and graduating
from a public or non-public school system with a diploma. Home schooled students
cannot be awarded local or Regents high school diplomas. Some employers will not
accept home instruction or a General Equivalency Diploma (GED) as being equivalent to
a diploma issued by a school. In addition, the United States military accepts a GED only
with individuals meeting additional criteria.
                            Overview of Responsibilities
The Parent or Guardian is required to:

   1. Submit to the home District Superintendent a Letter of Intent to home school each
      child by July 1 each year, or within 14 days of commencing home instruction.

   2. Submit a separate, written Individualized Home Instruction Plan (IHIP) for each
      child being instructed at home. A single set of documents may not be used for
      more than one child. A separate plan must be submitted for each child
      individually. IHIPs are due by August 15 or within four weeks of receiving a
      response to a letter of intent from the district, whichever is later.

       If notified that the IHIP submitted is not acceptable, a revised IHIP correcting the
       deficiencies must be submitted within 15 days of notification, or by September
       15, whichever is later.

   3. Submit four Quarterly Reports on or before the dates specified on the IHIP.

   4. Submit a separate Annual Assessment Report for each child being instructed at
      home at the time the fourth quarterly report is submitted.

       If notified that achievement levels do not meet state minimums, a remedial plan to
       correct deficiencies must be submitted with the IHIP for the next school year.

   5. Conduct all communication with the superintendent of the district in which they
      reside.

The School District will:

   1. Respond to a Letter of Intent and provide appropriate information including a
      copy of the Commissioner’s Regulation 100.10 and the IHIP form

   2. Refer each IHIP to the District Superintendent for compliance review; inform
      parents by August 31 or within ten business days of receipt, whichever is later, of
      compliance ruling.

       Revised IHIPs must be reviewed and parents notified of their compliance within
       15 days of receipt or by September 30, whichever is later.

   3. Upon receipt of each quarterly report the District Superintendent will review each
      quarterly report for compliance and notify parents if reports are not acceptable.
   4. Upon receipt of annual assessment report the District Superintendent will review
      for compliance. If progress is substandard, the District Superintendent will notify
      parents of their probationary status for home instruction and that a remedial plan
      is required to be submitted with the IHIP for the next school year.

   5. The superintendent will provide technical assistance, when requested by the
      parent, in developing an IHIP, providing curriculum information, arranging for
      testing, etc.

   6. Request assistance from the Board of Education when the school district lacks the
      information or expertise to respond to a request or resolve a conflict.



*refer to Part 100.10 of Regulations of the Commissioner of Education for more
information
                                        Procedure
1) Notice of intention to home school
Parents or other persons in parental relation to a student of compulsory school attendance
age shall annually provide written notice to the Superintendent of Schools of their school,
in the district of residence, intention to educate their child at home by July 1st of each
school year.

Parents who determine to commence home instruction after the start of the school year,
or who establish residence in the school district after the start of the school year, shall
provide written notice of their intention to educate their child at home within fourteen
(14) days following the commencement of home instruction within the school district.

2) Individualized Home Instruction Plan (IHIP)
a) Within 10 business days of the receipt of the notice of intention to instruct at home,
the school district shall send to the parents a copy of section 100.10 of the Regulations of
the Commissioner of Education, data sheet of home school instructor, home instruction
worksheet, IHIP plan worksheet, grade appropriate IHIP Quarterly Report form and IHIP
Annual Assessment Report form for each child of compulsory attendance age who is to
be taught at home.

       IHIP Cover Sheet and Plan shall contain for each child:
        the child’s name, age and grade level
        a list of the syllabi, curriculum materials, textbooks or plan of instruction to be
          used in each of the required courses (see appendix ) appropriate to child’s
          grade level
        the dates for submission to the school district of the parents’ quarterly reports
        name(s) of individuals providing instruction
        a statement that the child will be meeting the compulsory educational
          requirements of Education law, section 3205 through full-time study at a
          degree-granting institution, meaning enrollment for at least 12 semester hours
          in a semester or its equivalent. In this situation, the IHIP shall identify the
          degree-granting institution and the subjects to be covered by that study.

b) Within four weeks of the receipt of IHIP forms, or by August 15, whichever is later,
the parent must submit the completed IHIP forms to the school district. The district shall
provide assistance in preparation of the forms if requested by parents.

c) Within 10 business days of receipt of the IHIP, or by August 31, whichever is later,
the school district must either notify the parents that the IHIP complies with the
requirements of the IHIP Plan or gives parents written notice of any deficiency in the
IHIP. Within 15 days of receipt of a notice of a deficiency in the IHIP, or by September
15, whichever is later, the parents must submit a revised IHIP which corrects any such
deficiencies.
d) Within 15 days of receipt of the revised IHIP or by September 30, whichever is later,
the Superintendent must notify the parent as to whether it complies with regulations. If
the revised IHIP is not in compliance, the parents will be notified in writing of the
reasons for noncompliance.

*refer to Appendix VI Part 100.10 of Regulations of the Commissioner of Education for
more information

Students with Special Educational Needs
The district is required to make appropriate services available to any identified student in
accordance with the approved Individualized Education Program (IEP). Generally,
services would be delivered at the public school, however, the district and the parents
may agree to have services delivered off-site. If the district and parent agree that the
student’s home is the most convenient and appropriate location, services may be provided
to the student in the home. If the home schooled child is a child with a disability, the
home district is mandated to provide evaluations every 3 years.

*refer to Appendix V Questions and Answers for more information

Preparing the IHIP
The Individualized Home Instruction Plan serves as a guide in planning a home
instruction program that fulfills a parents responsibility under Education Law, sections
3204 (2) and 3210(2)(d). It also helps the school district by documenting the specific
content intended to be taught in the event that the student enrolls in district classes at
some later date. For these reasons, the IHIP should be carefully prepared.

A separate IHIP must be prepared for each student even if they are receiving the same
instruction.

Worksheet: In addition to basic information about the student, the cover sheet includes a
place to indicate how the school year will be divided up. Year round schooling or a more
traditional school calendar year may be followed. However, all plans must end with the
fourth quarter on June 30. The dates by which each of the four Quarterly reports will be
submitted should be recorded on the cover sheet. The third Quarterly report should
include plans for the annual assessment.
IHIP: For compliance purposes, the IHIP serves to establish the concept of “substantial
equivalence”. It must include all items on the IHIP form. A table of contents from an
appropriate texts or a scope and sequence chart can be submitted if they describe the
content to be taught.
Quarterly Reports: On or before the dates specified by the parent in the IHIP, a quarterly
report for each child shall be furnished by the parent to the school district. The quarterly
report shall contain the number of hours of instruction during said quarter, a description
of the material covered in each subject listed in the IHIP, either a grade for the child in
each subject or a written narrative evaluating the child’s progress, and a written
explanation in the event that less than 80 percent of the amount of the course materials as
set forth in the IHIP planned for that quarter has been covered in any subject.
Annual Assessment: At the time of filing the fourth quarterly report as specified in the
IHIP, the parent shall also file an annual assessment. The annual assessment is a norm-
referenced standardized achievement test or approved alternative form of evaluation that
documents the level of achievement for each student. The test shall be selected from one
of the following: the Iowa Test of Basic Skills, the California Achievement Test, the
Stanford Achievement Test, the Comprehensive Test of Basic Skills, the Metropolitan
Achievement Test, a State Education Department test, TONYSS, Terra Nova or another
test approved by the State Education Department.

The test shall be administered in accordance with one of the following options:
    at the public school by its professional staff
    at a registered nonpublic school, by its professional staff, with the consent of the
       chief school officer of the nonpublic school
    at a non-registered nonpublic school, by its professional staff, with prior consent
       of both home district superintendent chief school officer of the nonpublic school
    at the parent’s home or any reasonable location, by a New York State certified
       teacher or by another qualified person, with prior consent of the home district
       superintendent


                           Evaluating Student Progress
Measuring student progress can be a difficult part of the instructional process. Many
years of research have convinced those concerned with this area that a variety of
strategies should be used to assess progress. Paper and pencil tests will always have a
place in the assessment plan, but performance assessments in which students show that
they can use the knowledge and skills they have gained are being included as well. There
is an increasing emphasis on “authentic” tasks that require students to demonstrate their
ability to handle real world situations.

To be accurate and meaningful, assessment must correlate with educational methods and
curriculum. Therefore, assessing progress will be easier if the IHIP goals are specific, not
only in regard to content, but to the kind of application skills that will be considered as
evidence of achievement.

Quarterly Reports
The quarterly reports serve the dual purpose of documenting instructional time and
assessing progress. Total hours of instruction completed for the quarter are recorded on
the Quarterly Report form. In grades 7-12 instructional time is recorded for each subject.

The report requires that a description of what was taught during the quarter be recorded
for each subject area along with a grade or written evaluation of progress. The
description should state the specific concepts and skills, not broad topics, and should be
limited to what was actually covered during the quarter. This is in contrast to the IHIP
which requires a similar description for the entire year.
Teachers frequently have to adjust their plans, so it is probable that everything planned
won’t be completed every quarter. The form does require confirmation that at least 80
percent of planned material was covered during the quarter. In the event that
circumstances, such as severe illness, prevented completion of 80 percent of planned
work, a written explanation is required.

Choices for reporting progress include assigning a numerical or letter grade, and/or
writing a statement that describes the level of achievement in each subject area. Since
documenting progress is the purpose, a system that communicates effectively is advised.
At some point in time others may need to use these evaluations to make a decision about
admission or placement into another program.


Annual Assessment
Each year a comprehensive assessment is required to be filed with the fourth quarterly
report by the date specified in the IHIP. In grades 1-8 there is a choice of two types of
assessment—a commercially published, norm-referenced achievement test or a written
narrative.

Norm-referenced achievement tests can be selected from the following:
    Iowa Test of Basic Skills
    California Achievement Test
    Stanford Achievement Test
    Comprehensive Test of Basic Skills
    Metropolitan Achievement Test
    TONYSS
    Terra Nova
    New York State Assessments or Regents Competency Exams

Permission to substitute a test not on the above list must be obtained from the State
Education Department prior to administration.

Parents of home schooled students may choose to have their students take the State’s
elementary and intermediate level tests as part of their required annual assessment and
may request their students take high school Regents exams. Schools are encouraged to
admit home schooled students to Regents exams, provided the school principal can verify
that the students have completed the appropriate courses of study. Each of the four
Regents exams in the sciences has a lab requirement. A student may be admitted to these
exams only if there is satisfactory evidence presented to the school principal that the
student has met the lab requirement. The student’s IHIP, quarterly and annual reports
may provide this evidence.

Standardized tests require that testing conditions and procedures be the same for all test-
takers to insure that results are reliable. The test selected should reflect current norms. A
test taken at another location must be administered by a certified teacher or other
qualified person and requires the consent of the home district superintendent. If the test
cannot be scored by the test administrator, another qualified person must be found who is
mutually agreeable to both parents and the superintendent.

The test shall be provided by the school district upon request by the parent, provided that
the cost of any testing facilities, transportation and/or personnel for testing conducted at a
location other than the public school shall be the responsibility of parents.

With the consent of its chief school officer, testing can also be done by the professional
staff at a registered nonpublic school A registered school is authorized to give Regents
Examinations. Testing by the professional staff of a non-registered nonpublic school
requires both the consent of its chief school officer and that of the home school
superintendent.


Alternative Evaluation Methods
A written narrative is an alternative form of evaluation permitted for home schooled
students in grades one through eight. A certified New York State teacher, peer review
panel or other person shall be chosen by the parent with consent of the district
superintendent. An alternative evaluation may be used no more than every other school
year.

Test Results
Adequate growth is determined either by a composite score above the 33rd percentile on
national norms or a score that reflects one academic year of growth as compared to a test
administered during or subsequent to the prior school year.

Probation: When a student’s score falls below the 33rd percentile the program for that
child is placed on probation for a period of up to two school years. Probation requires
that parents submit a plan of remediation to address the deficiencies revealed in the
testing. The plan is reviewed by the superintendent and parents may be required to make
changes in the plan prior to acceptance. When the student has progressed to the level
specified in the remediation plan, the program is removed from probationary status. If
the child does not attain at least 75 percent of the objectives specified in the remediation
plan at the end of any given semester with probationary period, or if after two years on
probation 100 percent of the objectives of the remediation plan have not been satisfied,
the superintendent of schools shall provide the parents with the notice specified in
paragraph (c)(5) of part 100.10.

If there is reason to believe that a remediation plan is substantially ineffective, the
superintendent may require one or more home visits to determine specific problem areas
and the methods for addressing them. Such home visit(s) shall be made only after three
days’ written notice. The home visit(s) shall be conducted by the superintendent or by
the superintendent’s designee and may include members of a home instruction peer
review panel.
                                Substantial Equivalence

The parent must provide instruction in the required courses for a home school high school
program and document this in their child’s IHIP. Refer to Appendix II for a list of
required courses grades 9-12.

To complete the home instruction program for a high school student, the parent will
submit quarterly reports on the dates they have selected in the IHIP and an annual
assessment for grades 9-12. A standardized achievement test score is to be deemed
adequate if the student has received a composite score above the 33rd percentile on
national norms or reflects one academic year of growth as compared to a test
administered during or subsequent to the prior school year.

Upon completing the substantial equivalent of a four-year high school course through a
home instruction program, a home school student can request certification from their
superintendent verifying they have complied with the regulations. This certification will
then be used by the student to satisfy the requirements for college under the new Board of
Regents Rule. The Superintendent verifies that the home school student has completed
the equivalent of a four year high school course through a home instruction program by
checking to see that all required documentation has been submitted by the parent(s)—
IHIPs, quarterly reports, annual assessments. Once a student has complied with all of the
requirements under Section 100.10 of the Regulations of the Commissioner of Education,
their program is deemed to be equivalent and the Superintendent must provide a letter of
substantial equivalency to the home school student.

Whether or not a home school student is currently of compulsory attendance age, the
superintendent must provide a letter of substantial equivalency within a reasonable time
and should provide this letter within 10 business days.

In summary, a home instruction student who has complied fully with the regulations by
annually submitting the IHIP, quarterly reports and annual assessment shall be given a
letter by the superintendent which the student can then submit to the college or
university. This letter shall certify that the home school student has completed the
substantial equivalent of a four-year high school course through a home instruction
program. This determination of substantial equivalency is to be based upon an objective
determination of compliance with the regulations and is not to be a subjective comparison
of individual home instruction programs.
                           New York State Testing Program

Test                               Subject                      Grade

New York State                     English Language Arts        3-8

New York State                     Math                         3-8

New York State                     Science                      4, 8

New York State                     Social Studies               5,8

Spanish Proficiency Test           Spanish                      7-9
Spanish Regents                    Spanish                      10

Earth Science Regents              Science                      9
Living Environment Regents         Science                      10
Chemistry Regents                  Science                      11
Physics Regents                    Science                      12

Regents Competency Test            English                      11-12

Regents Competency Test            US History & Government      11

Math A Regents                     Math                         10
Math B Regents                     Math                         11

Regents Competency Test            Global History & Geography   10
                        Appendix I Correspondence

Sample Initial Letter

Sample Compliance Letter

Sample Noncompliance Letter

Sample Missing Information Letter

Sample Probation Letter

Sample Substantial Equivalence Letter
Sample Initial Letter




(date)



Dr. Christopher Brown, Superintendent
Hammondsport Central School
827 Main St.
Hammondsport, NY 14840

RE: Home Schooling Paperwork

Dear Parent or Guardian:

Thank you for informing me of your intention to instruct your child(ren) at home. My
responsibility is to assist you in complying with the regulations established by the New
York State Commissioner of Education. These regulations were adopted to ensure that
all children in our district receive instruction that is at least equivalent to that being
offered to children of the same age and achievement level enrolled in our district.

Please complete the enclosed worksheets for each child being home schooled. I will then
review the information and notify you if the information complies with New York State
regulations. If my findings indicate noncompliance, I will notify you specifically of what
you need to do to bring them into compliance.

If I can be of further assistance, please call the district office at 569-5235.

Sincerely,



Dr. Christopher Brown
Superintendent
Sample Compliance Letter




(date)




Mrs. Roger Smith
1234 W. Waneta Lake Rd.
Hammondsport, NY 14840

RE: Individualized Home Instruction Plan

Dear Mrs. Smith:

After reviewing your Individualized Home Instruction Plan on Alicia, Robert and Carley,
I find it to be in compliance with New York State home schooling regulations.

Best wishes to you all for a successful school year!

Sincerely,



Dr. Christopher Brown
Superintendent
Sample Noncompliance Letter




(date)



Mrs. Roger Smith
1234 W. Waneta Lake Rd.
Hammondsport, NY 14840

RE: Individualized Home Instruction Plan

Dear Mrs. Smith:

I received and examined the Individualized Home Instruction Plans on Alicia, Robert and
Carley. A review of each IHIP indicates that the following information is missing and
needs to be included for each child:

         (list information missing)

A revised IHIP for each of your children must be submitted within 15 days. If you have
questions or would like assistance, please contact me at 569-5235.

Sincerely,



Dr. Christopher Brown
Superintendent
Sample Missing Information Letter



(date)



Dear Parent or Guardian,

Please be advised that as of this date we have not yet received the:

                        _____ Data sheet
                        _____ IHIP
                        _____ Quarterly Report for ____________
                        _____ Annual Report

for your child (ren).

To ensure that you remain in compliance with New York State Regulations regarding
home schooling, please submit the reports to Dr. Christopher Brown, Superintendent.

Thank you for your attention to this matter. If you have any questions, please contact me
at 569-5235.

Sincerely,



Dr. Christopher Brown
Superintendent
Sample Probation Letter

(date)




RE: Home School Probation

Dear (parent/guardian):

Thank you for submitting the annual assessment information for (child’s name)
administered on (date administered).

Your student has a composite score below the 33rd percentile on (name of test). The
Commissioner’s Regulation 100.10 (h)(i) requires the home instruction program to be
placed on probation for a period of up to two years when students perform below the 33rd
percentile. You must also submit a remediation plan to me which addresses the
deficiencies identified by the testing for the upcoming school year.

If you have further questions, please contact me at 569-5235.

Sincerely,



Dr. Christopher Brown
Superintendent
Sample Substantial Equivalence Letter



Date



RE: Substantial Equivalence Compliance with Section 100.10

Dear (child’s name):

I have examined all of the records submitted in accordance with Section 100.10 of the
Regulations of the Commissioner of Education. The records show that Individualized
Home Instruction Plans (IHIP), quarterly reports and annual assessments have been
received for the equivalent of four years of high school work in a home instruction
program.

I hereby certify that (student’s name) has completed the substantial equivalent of a four-
year high school course in compliance with Section 100.10.

Sincerely,



Dr. Christopher Brown
Superintendent
                      Appendix II Required Courses

                              Required Courses Grades 1-6

Subject:                                          Instructional Requirements
                                                  (yearly total=900 hours)

Mathematics                                       180 minutes per week
English Language Arts                             180 minutes per week
     Reading
     Spelling
     Writing
     Speaking/Listening
Social Studies                                    180 minutes per week
     Geography
     United States History
Science                                           180 minutes per week
Health education                                  regularly
Music                                             45 minutes per week
Visual arts                                       45 minutes per week
Physical education                                120 minutes per week

*Bilingual education and/or English as a second language should be provided when
needed
                             Required Courses Grades 7-8

Subject:                              Units          Instructional Requirements
                                                     (yearly total=990 hours)

English                               2              180 minutes per week
History & geography                   2              180 minutes per week
Science                               2              180 minutes per week
Mathematics                           2              180 minutes per week
Physical education                                   regularly
Health education                                     regularly
Art                                   1/2            90 minutes per week
Music                                 1/2            90 minutes per week
Practical arts                                       regularly
Library skills                                       regularly

Units:
1 unit = 180 minutes per week (3 hrs) for 1 year or 90 minutes per week for two years
½ unit = 90 minutes per week for 1 year or 45 minutes per week for two years

*Bilingual education or English as a second language should be provided where needed

*the following courses shall be taught at least once during the first eight grades: United
States History, New York State History, United States Constitution and New York State
Constitution
                          Required Courses for Grades 9-12

Subjects:                            Units          Instructional Requirements
                                                    (yearly total=990 hours)

English                              4              180 minutes per week
Social studies                       (4)            180 minutes per week
    American History                1
    Participation in Government     ½
    Economics                       ½

Mathematics                          2              180 minutes per week
Science                              2              180 minutes per week
Art and/or music                     1              180 minutes per week
Health education                     ½              90 minutes per week
Physical education                   2              180 minutes per week
Electives                            3              180 minutes per week

Units:
1 unit = 180 minutes per week (3 hrs) for 1 year or 90 minutes per week for two years
½ unit = 90 minutes per week for 1 year or 45 minutes per week for two years

*Bilingual education or English as a second language should be provided where needed

Education law, sections 801, 804, 806 and 808, also require the following subjects to be
covered during grades kindergarten through 12:

      Patriotism and citizenship
      Health education regarding alcohol, drug and tobacco misuse
      Highway safety and traffic regulations, including bicycle safety
      Fire and arson prevention and safety
                         Appendix III Forms

Data Sheet of Home School Instructor

Home Instruction Worksheet

Individualized Home Instruction Plan (IHIP) for grades 1-6

Individualized Home Instruction Plan (IHIP) for grades 7-8

Individualized Home Instruction Plan (IHIP) for grades 9-12

IHIP Quarterly Report for grades 1-6

IHIP Quarterly Report for grades 7-8

IHIP Quarterly Report for grades 9-12

Annual Assessment Report

Checklist Grades 1-8

Compliance Checklist Grades 9-12
                            Hammondsport Central School
                                   POB 368
                             Hammondsport, NY 14840

                         Data Sheet of Home School Instructor

Name __________________________________________________________________
      Last              First             Middle            Maiden

Permanent Address _______________________________________________________

Education     Attended       Graduated     No. of Credits        Degree/Diploma
              From-To        Yes / No      Received              Received

High School Name/Location _______________________________________________

College Name/Location ___________________________________________________

Background Information: (e.g. formal education, practical experience, diplomas and
degrees, certification and other experiences)

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________



_______________________                                          _________________
   Student Last Name                                                 School Year
                             Home Instruction Worksheet


___/___/___ Date parent notified School District Personnel of their intention to home
instruct their child.

___/___/___ Date parent will commence home instruction.

________________________________            _______        __________ __________
Name of Student                             Age            Date of Birth Grade Equiv.

_______________________________________________________________________
Street Address                City/Town                     Zip Code

Dates Quarterly Reports will be submitted           ___/___/___ 1st Quarter
                                                    ___/___/___ 2nd Quarter      .
                                                    ___/___/___ 3rd Quarter
                                                    ___/___/___ 4th Quarter

________________________________            ___________________________________
Individual Providing Instruction            Individual Submitting Quarterly Reports

___ Commercial        ___ Narrative         ________ Dates of submittal of Attendance

Test ____________________________           Report _____________________________

________________________________            ___/___/___ 1st Quarter
Type of Annual Assessment                   ___/___/___ 2nd Quarter
                                            ___/___/___ 3rd Quarter
                                            ___/___/___ 4th Quarter

________________________________            ___/___/___ date of annual assessment test
Name of Commercial Test                                         (if appropriate)

________________________________            ___/___/___ date of annual assessment
Test Administrator (if appropriate)                     submission to Superintendent

________________________________            ___________________________________
Testing Site (if appropriate)               Test Evaluator (scoring)

________________________________            ___/___/___ date of IHIP Submission
Parent Signature
________________________________         ___/___/___ ___ IHIP Compliance
Signature of Superintendent                          ___ IHIP Noncompliance

________________________________         ___/___/___ date of IHIP Resubmission
Parent Signature

_______________________________          ___/___/___ date of receipt of revised IHIP
Signature of School Personnel


___/___/___ next Board of Education Meeting 10-day hence
                        Individualized Home Instruction Plan
                                     Grades 1-6
                                       (IHIP)

________________________             ___            _________              _________
      Student’s Name                 age            grade level               date

Address:____________________________________________ Phone: ___________

School District: ________________________           Dates of Quarterly Reports:
                                                    ___/___/___ 1st quarter
                                                    ___/___/___ 2nd quarter
                                                    ___/___/___ 3rd quarter
                                                    ___/___/___ 4th quarter

Below, please describe the student’s Individualized Home Instruction Plan (IHIP) for the
current school year as required by Section 100.10 of the Commissioner’s Regulations
which were sent under separate cover. The IHIP must contain a list of the syllabi which
is the expected learning outcomes including goals, objectives, concepts, skills and
understandings in a given subject, curriculum materials, textbooks or plan of instruction
to be used in each of the required subjects. The required subjects for grades 1-6 include
mathematics, reading, spelling, writing, the English language, geography, United States
history, science, health education, music, visual arts, physical education bilingual
education and/or English as a second language where necessary. As an alternative, you
may describe the plan of instruction to be used in the subjects listed above.

Please submit this form or a comparable format. You may use additional pages if
necessary.




__________________________                          _____________________________
Instructor(s) Signature(s)                          Signature of Person Preparing IHIP
                        Individualized Home Instruction Plan
                                     Grades 7-8
                                       (IHIP)


________________________             ___            _________              _________
      Student’s Name                 age            grade level               date

Address:____________________________________________ Phone: ___________

School District: ________________________           Dates of Quarterly Reports:
                                                    ___/___/___ 1st quarter
                                                    ___/___/___ 2nd quarter
                                                    ___/___/___ 3rd quarter
                                                    ___/___/___ 4th quarter

Below, please describe the student’s Individualized Home Instruction Plan (IHIP) for the
current school year as required by Section 100.10 of the Commissioner’s Regulations
which were sent under separate cover. The IHIP must contain a list of the syllabi which
is the expected learning outcomes including goals, objectives, concepts, skills and
understandings in a given subject, curriculum materials, textbooks or plan of instruction
to be used in each of the required subjects. The required subjects for grades 7-8 include
English, history and geography, science, mathematics, physical education, health
education, art and/or music, practical arts and library skills. As an alternative you may
describe the plan of instruction to be used in the subjects listed above.

Please submit this form or a comparable format. You may use additional pages if
necessary.




__________________________                          _____________________________
Instructor(s) Signature(s)                          Signature of Person Preparing IHIP
                        Individualized Home Instruction Plan
                                     Grades 9-12
                                       (IHIP)


________________________             ___            _________             _________
      Student’s Name                 age            grade level              date

Address:____________________________________________ Phone: ___________

School District: ________________________           Dates of Quarterly Reports:
                                                    ___/___/___ 1st quarter
                                                    ___/___/___ 2nd quarter
                                                    ___/___/___ 3rd quarter
                                                    ___/___/___ 4th quarter

Below, please describe the student’s Individualized Home Instruction Plan (IHIP) for the
current school year as required by Section 100.10 of the Commissioner’s Regulations
which were sent under separate cover. The IHIP must contain a list of the syllabi which
is the expected learning outcomes including goals, objectives, concepts, skills and
understandings in a given subject, curriculum materials, textbooks or plan of instruction
to be used in each of the required subjects. The required subjects for grades 7-8 include
English, history and geography, science, mathematics, physical education, health
education, art and/or music and electives. As an alternative you may describe the plan of
instruction to be used in the subjects listed above.

Please submit this form or a comparable format. You may use additional pages if
necessary.




__________________________                          _____________________________
Instructor(s) Signature(s)                          Signature of Person Preparing IHIP
                                 IHIP Quarterly Report
                                      Grades 1-6

________________________________              _____         _______________
Student’s Name                                Grade              Date

Total hours of instruction this quarter ___   # days absent ___   # days present ___


Description of Materials Covered                            Grade or Evaluation

Mathematics:

Reading:

Spelling:

Writing:

English Language:

Geography:

History:

Science:

Health Education:

Music:

Visual Arts:

Physical Education:

Patriotism and Citizenship:

Health Education regarding alcohol, drug and tobacco misuse:

Highway Safety and Traffic Regulations:

Fire and Arson Prevention Safety:
The following courses must be taught at least once in grades 1-8:

United States History:

New York State History:

Constitution of New York State:

Constitution of the United States:



We have covered at least 80 percent of our planned material for this quarter.

______ yes               ______no

If “NO”, please provide explanation in the space below.




_________________________________
Instructor(s) Signature
                                 IHIP Quarterly Report
                                      Grades 7-8

________________________________              _____         _______________
Student’s Name                                Grade              Date

Total hours of instruction this quarter ___   # days absent ___   # days present ___


Description of Materials Covered                            Grade or Evaluation

English:

History and Geography:

Science:

Mathematics:

Physical Education:

Health Education:

Art:

Music:

Practical Arts:

Library Skills:

Patriotism and Citizenship:

Health Education regarding alcohol, drug
       and tobacco misuse:

Highway Safety and Traffic Regulations
      Including Bicycle Safety:

Fire and Arson Prevention and Safety:
The following courses must be taught at least once in grades 1-8:

United States History:

New York State History:

Constitution of New York State:

Constitution of the United States:



We have covered at least 80 percent of our planned material for this quarter.

______ yes               ______no

If “NO”, please provide explanation in the space below.




_________________________________
Instructor(s) Signature
                                 IHIP Quarterly Report
                                      Grades 9-12

________________________________              _____         _______________
Student’s Name                                Grade              Date

Total hours of instruction this quarter ___   # days absent ___   # days present ___


Description of Materials Covered                      # Hours     Grade or Evaluation

English:

Social Studies:

Mathematics:

Science:

Art and/or Music:

Health Education:

Physical Education:

Patriotism and Citizenship:

Health Education regarding alcohol,
       drug and tobacco misuse:

Highway Safety and Traffic Regulations
      including Bicycle Safety:

Fire and Arson Prevention:

Electives:
       1.
       2.
       3.
We have covered at least 80 percent of our planned material for this quarter.

______ yes            ______no

If “NO”, please provide explanation in the space below.




_________________________________
Instructor(s) Signature
                            Annual Assessment Report

______________________________             _____       __________to_________
      Student’s Name                       Grade           Program Dates

_____________________ __________________________ __________________
      Instructor(s)     Name of Test Administrator   Testing Site



Name of Test (s)             Date of Test(s)            Score (s)




Narrative of Academic Progress:




_____________________________________
Provider’s Signature
                          Appendix IV Checklists

                               Checklist Grades 1-8

First Quarter                                  Second Quarter

____ Data Sheet for Home Instructor            ____ Data Sheet for Home Instructor

____ IHIP form                                 ____ IHIP form

____ 1st Quarter Report                        ____ 1st Quarter Report

____ 2nd Quarter Report                        ____ 2nd Quarter Report

____ 3rd Quarter Report                        ____ 3rd Quarter Report

____ 4th Quarter Report                        ____ 4th Quarter Report




Third Quarter                                  Fourth Quarter

____ Data Sheet for Home Instructor            ____ Data Sheet for Home Instructor

____ IHIP form                                 ____ IHIP form

____ 1st Quarter Report                        ____ 1st Quarter Report

____ 2nd Quarter Report                        ____ 2nd Quarter Report

____ 3rd Quarter Report                        ____ 3rd Quarter Report

____ 4th Quarter Report                        ____ 4th Quarter Report

                                               ____ Annual Assessment
                          Section 100.10 Compliance Checklist
                                      Grades 9-12

_________________________________
Name of Student

9th Grade                                  11th Grade

____ IHIP form                             ____ IHIP form

____ 1st Quarter Report                    ____ 1st Quarter Report

____ 2nd Quarter Report                    ____ 2nd Quarter Report

____ 3rd Quarter Report                    ____ 3rd Quarter Report

____ 4th Quarter Report                    ____ 4th Quarter Report

____ Annual Assessment                     ____ Annual Assessment




10th Grade                                 12th Grade

____ IHIP form                             ____ IHIP form

____ 1st Quarter Report                    ____ 1st Quarter Report

____ 2nd Quarter Report                    ____ 2nd Quarter Report

____ 3rd Quarter Report                    ____ 3rd Quarter Report

____ 4th Quarter Report                    ____ 4th Quarter Report

____ Annual Assessment                     ____ Annual Assessment
     Appendix V
Questions and Answers
                 Appendix VI
Regulations of the Commissioner of Education
Commissioner of Education

								
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