NORTH SANPETE SCHOOL DISTRICT
Creating Conditions for Learning So All Students Can Succeed
NORTH SANPETE SCHOOL DISTRICT
Creating Conditions for Learning So All Students Can Succeed
VI-29: Homebound Instruction
North Sanpete School District
Statement of .............
Board Policy with Guidelines
Policy Number: VI-29
Effective Date: 03/10/1987
Revised Date:
Subject: Homebound Instruction
DISTRICT POLICY
Homebound instruction shall be provided to any child with a health or physical impairment which, in the opinion of a licensed medical examiner, will cause him/her to be absent from school for more than two consecutive weeks and who school personnel determine can educationally benefit from such a program, or to any child whose educational needs, as determined by a case study and reviewed in a multidisciplinary staff conference, are most appropriately and effectively met by such a program.
GUIDELINES
HOMEBOUND PROGRAM
Student's Name________________________________________ Room Number____________________
Parent's Name _________________________________________ Address ________________________
Nature or Illness or Injury _________________________________________________________________
Date of Incapacitation _________________________
Date of Request for Homebound Aid __________________________
Teacher Assigned ________________________________________ Date ________________________
Date Time of Visit Hours Rate/Hr. Salary Round Trip Miles Rate/Mile Total
Transfer and reentry has been made on roll book: Yes ____ No ____
Give date of each school day student was incapacitated whether visit was made or not.
Date | Time of Visit | Hours | Rate/Hr. | Salary | Round Trip Miles | Rate/Mile |
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North Sanpete School District does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs.
Civil Rights Disclosure | Prohibition of Bullying, Hazing, and Retaliation | SafeUT
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