NY Home Instruction Referral Form 2006-2025 free printable template

Page 1 of 1 Chancellor's Regulation A-170 Attachment A Home Instruction Referral Form This application MUST include a Doctor's note indicating the medical condition and an estimated duration of Home

How to fill out NY Home Instruction Referral Form

How to fill out NY Home Instruction Referral Form

1. Obtain the NY Home Instruction Referral Form from the New York State Education Department website or your local school district office.
2. Fill in the student's personal information, including name, date of birth, and address.
3. Provide details about the parent or guardian, including contact information.
4. Specify the grade level and subjects for home instruction.
5. Include the reason for seeking home instruction.
6. List the planned instructional components and methods to be used.
7. Attach any required documentation, such as proof of residency or educational history.
8. Review the entire form for accuracy and completeness.
9. Submit the completed form to the appropriate school district office.

Who needs NY Home Instruction Referral Form?

1. Parents or guardians seeking to homeschool their children in New York.
2. Families who want their children to receive home instruction instead of traditional schooling.
3. Students with special circumstances that require an alternative to in-person education.

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What is NY Home Instruction Referral Form?

The NY Home Instruction Referral Form is a document used by parents or guardians in New York State to formally inform their local school district of their intent to provide home instruction for their child.

Who is required to file NY Home Instruction Referral Form?

Parents or guardians who choose to educate their children at home instead of enrolling them in a public or private school are required to file the NY Home Instruction Referral Form.

How to fill out NY Home Instruction Referral Form?

To fill out the NY Home Instruction Referral Form, parents must provide the child's name, age, and address, as well as information about the educational program they plan to implement, including curriculum details and instructional materials.

What is the purpose of NY Home Instruction Referral Form?

The purpose of the NY Home Instruction Referral Form is to ensure that home-schooled children receive an adequate education in compliance with New York State education laws and regulations.

What information must be reported on NY Home Instruction Referral Form?

The information that must be reported includes the child's name, date of birth, address, the name of the parent or guardian, the educational program being used, and assurances that the instruction will meet state requirements.