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    Homebound Instruction Template

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    api-372339051
    Homebound instruction provides academic services to students who are unable to attend school for an extended period of time due to illness, injury, suspension, pregnancy or parenting responsibilities. A licensed teacher provides one hour of instruction per day, which can be scheduled over multiple days. Parents must be present for home instruction or it must occur in a public location. Services are intended to be short-term, usually less than six weeks, and coordinate the student's transition back to school. To qualify, a medical professional must verify the need for homebound placement and services are approved by the school principal and district director.

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    Homebound Instruction Template

    Uploaded by

    api-372339051
    851 views4 pages
    Homebound instruction provides academic services to students who are unable to attend school for an extended period of time due to illness, injury, suspension, pregnancy or parenting responsibilities. A licensed teacher provides one hour of instruction per day, which can be scheduled over multiple days. Parents must be present for home instruction or it must occur in a public location. Services are intended to be short-term, usually less than six weeks, and coordinate the student's transition back to school. To qualify, a medical professional must verify the need for homebound placement and services are approved by the school principal and district director.

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    Homebound instruction provides academic services to students who are unable to attend school for an extended period of time due to illness, injury, suspension, pregnancy or parenting responsibilities. A licensed teacher provides one hour of instruction per day, which can be scheduled over multiple days. Parents must be present for home instruction or it must occur in a public location. Services are intended to be short-term, usually less than six weeks, and coordinate the student's transition back to school. To qualify, a medical professional must verify the need for homebound placement and services are approved by the school principal and district director.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    851 views4 pages

    Homebound Instruction Template

    Uploaded by

    api-372339051
    Homebound instruction provides academic services to students who are unable to attend school for an extended period of time due to illness, injury, suspension, pregnancy or parenting responsibilities. A licensed teacher provides one hour of instruction per day, which can be scheduled over multiple days. Parents must be present for home instruction or it must occur in a public location. Services are intended to be short-term, usually less than six weeks, and coordinate the student's transition back to school. To qualify, a medical professional must verify the need for homebound placement and services are approved by the school principal and district director.

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    Homebound Instruction

    What is Homebound Instruction?


    Students are expected to attend school as much as possible. If unable to attend for extended 15
    or more consecutive days), schools have the responsibility to provide all students a program of
    instruction, which will allow the student to maintain academic progress. Minnesota Legislature
    (Rule 3525.2325) states that educational services must be provided to any student who:
    - Has been prevented from attending school (illness, suspension, expulsion)
    - Is predicted to be absent for an extended duration according to written verification from a
    medical doctor, psychologist, or judge
    - Is health-impaired and needs special education as determined by the Individualized
    Education Plan (IEP) team

    Homebound services begin after the student is enrolled in this placement and regular education
    instruction is provided by a licensed teacher. If on an IEP, special education services will also
    be provided based upon individuals goals and services.

    This describes my child! What do I do now?


    Contact with your school’s principal or counselor to determine if your child could be eligible. If
    so, the district’s Homebound Coordinator, _______, (phone: 952-442-0600) will be contacted
    and can provide more information on Homebound Instruction as well as start the enrollment
    process. You will be asked to complete….

    What should I expect when receiving Homebound Instruction?


    Instruction is designed to meet individual student needs and also coordinate a smooth transition
    back into the school setting. A student is provided one hour of instruction per day of
    Homebound enrollment. Instruction does not have to take place every day and longer blocks of
    time can be scheduled.

    If an instructor is coming to your home, a parent or responsible adult must be present; if unable
    to be there, instruction must take place in a public location. If your child is in a medical facility,
    academic instruction may also occur through small group instruction or through an educational
    component of the facility.

    A homebound instructor will be assigned and communicate with you on scheduling time for
    academic instruction. The instructor will also contact the student’s classroom teacher to get
    assignments and needed materials.

    How long do Homebound Services last?


    Services are expected to be short-term and usually are less than six weeks in duration. Chronic
    illness may require extended periods but may not exceed the length of one school year (170
    school days). If
    What if I don’t want to enroll in Homebound Services?
    Minnesota law requires all students ages 7 through 17 to attend school (Compulsory
    Attendance Law). If your child is unable to attend and homebound services is not an option, you
    must provide documentation of alternative enrollment, which may include Homeschool, or
    adequate verification of why the student is not attending school.

    Contact Information:
    ______, Homebound Coordinator(??)
    Phone Number: 952-442-0600
    Additional District Resources (internal folder only)
    Instructor forms:
    - Guidance on providing instruction
    - Hourly log (Payroll information tied to MARSS enrollment of student)
    - Stipend information
    Homebound request forms:
    - Medical or legal verification documentation
    - Service guidelines
    MDE Homebound Grid (see attached excel file??)
    APPLICATION FOR HOMEBOUND INSTRUCTION

    Homebound instruction requires a signed Physician’s Statement to accompany this application.


    A. STUDENT INFORMATION
    Name of student: _______________________________ Grade_____ Student Id#___________
    Parent Name___________________________________ Phone Number _________________
    Parent Address _______________________________________________________________
    School in which student is regularly enrolled:________ Date of last attendance: _____________
    Has student had home instruction in past 12 months? ________________

    B. TEACHER INFORMATION
    Name of Assigned Teacher _______________________________
    Phone#_______________________
    File Folder # __________________________ Licensure Area
    ___________________________________

    C. INSTRUCTIONAL PROGRAM
    Place of Instruction: ___________________________________
    Date Instruction to Begin: _________________________________
    Number of hours of instruction per week: (Regular Ed)___________ (Special Ed)__________
    Estimated Date of Return to School: ____________________________
    Person reporting ____________________________________________
    extension________________

    Principal Approval________________________ Director Approval_______________________

    Physician’s statement and student schedule must be attached Please return this form to:
    Debbie LeGeault at the District Office

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