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HOUSEBOUND INSTRUCTION REQUEST FORM TYLER COUNTY PUBLIC SCHOOLS P.O. Box 25, Middlebury, WV 26149 Phone (304) 7582145 Fax (304) 7584566Please print or type: Name of Student Sex Birth Date Last First
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How to fill out homebound instruction request form

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How to fill out homebound instruction request form

01
Obtain a copy of the homebound instruction request form from your school or district.
02
Provide your personal information, such as your name, address, and contact details.
03
Indicate the reason for requesting homebound instruction, including any medical conditions or circumstances that prevent attending regular school.
04
Attach any supporting documents, such as medical reports or recommendations from healthcare professionals.
05
Specify the anticipated duration of the homebound instruction.
06
Provide information about the subjects or courses that need to be covered during the homebound instruction period.
07
Include any specific accommodations or modifications required for the homebound instruction.
08
Sign and date the form.
09
Submit the completed form to the appropriate authority or department in your school or district.
10
Follow up with the school or district to ensure that your request is processed and appropriate arrangements are made.

Who needs homebound instruction request form?

01
The homebound instruction request form is typically required by students who are unable to attend regular school due to medical conditions, physical disabilities, or other circumstances that prevent their physical presence in the classroom. This form is also used by parents or guardians who are requesting homebound instruction for their children.
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The homebound instruction request form is a document used to request educational instruction for students who are unable to attend school due to medical or special circumstances.
Parents or guardians of students who are unable to attend school and require homebound instruction are required to file the form.
To fill out the form, provide the student's personal information, details regarding the reason for homebound instruction, the expected duration, and any medical documentation as required.
The purpose of the form is to formally request accommodations for students to receive education at home when they are unable to participate in traditional schooling environments.
The form typically requires the student's name, grade, reason for homebound instruction, duration of need, and any supporting medical documentation.
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