137.1. ATTACHMENT
WEEKLY ELIGIBILITY REPORT
The parent/guardian of a home education student must submit this form to the principal each Friday by
_____________.
(time)
__________________________________
(Student’s Name)
_____________
(Date)
Report for period of: ____________________ to____________________
{ } Student has participated in a full, normally scheduled academic program.
{ } Student did not participate in a full, normally scheduled academic program on ______________, due to
absence.
{ } Student has demonstrated the academic progress required to meet eligibility criteria.
{ } Student has not demonstrated the academic progress required to meet eligibility criteria.
{ } Student’s behavior has complied with school’s Code of Student Code.
The parent/guardian must notify the principal, either verbally or by e-mail, on the day the student is absent.
__________________________________
Parent/Guardian Signature
__________________________________
Principal’s Signature
__________________________________
Student’s Signature