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IHBG-FRM1

Notice of Intent to Pursue a Program of Home Education

IHBG-FRM1 

      HOPKINTON PUBLIC SCHOOLS

                      Notice of Intent to Pursue a Program of Home Education

Instructions: Please complete this form, attach any additional information and forward at least 14 days prior to the intended start date of the home education program. The Hopkinton Public Schools will contact you to schedule an appointment with the Assistant Superintendent to review the proposal. If this process is initiated during the school year, the student must remain in school until the school district and the parents agree jointly to the home education plan.

Please send this completed form and any additional information to Jeffrey LaBroad, Assistant Superintendent, Hopkinton Public Schools, 89 Hayden Rowe Street, Hopkinton, MA 01748 or email jlabroad@hopkinton.k12.ma.us.

A.

Parent Name
Address
Phone (days)
E-mail
Student(s)		D.O.B
		D.O.B
		D.O.B

B.  On a separate sheet, describe the instructional program to be taught, including subjects and instructional aids to be used.

C. On a separate sheet, please indicate academic background, life experience and/or qualifications of those who will be instructing child(ren), as they relate to the instructional program described in Section B. This information will not be used to deny an application.

D.  Check the method of assessment to be used, followed by a brief description.

☐Daily logs, journals, progress reports, portfolios, or dated work sample.

☐An independent report made by someone acceptable to both the Superintendent and parent(s) or guardian(s).

☐Standardized test results.

☐Consultation with the Superintendent or appropriate school principal.

☐Any other method agreed to by both the Superintendent and home educator(s)

 

The following signature confirms the intent to provide a minimum of 900 (grades 1-8) or 990 (grades 9-12) hours of instruction.

Signature of Parent / Guardian: _______________________________

Date Submitted: _______________________________

Date of home educator/ administrative meeting  ____________________.  

The signature of the school official indicates the final approval of this plan. A parent/administrative conference may be scheduled.

Signature of Superintendent or Designee: _______________________________

Date: _______________________________

 

 

For more information contact:

Jeffrey LaBroad

Assistant Superintendent Hopkinton Public Schools 

89 Hayden Rowe Street Hopkinton, MA 01748

(508) 417-9360

jlabroad@hopkinton.k12.ma.us

Policy  Form Rev 8.30.2022