Get Home Study Program Yearly Attendance Report Form

Home Study Program Yearly Attendance Report 2012 - 2013 Name of Parent Print Submitted to Patrick Blenke City/State/Zip Code School Year Beginning Date / Ending Date Email ablenke doe. k12. ga*us Address Ga* Department of Education 205 Jesse Hill Jr. Dr. SE City/St*/Zip Atlanta GA 30334 Telephone 404 463-1765 Student name Fax 404 344-4450 Days Months days taught this month yearto-date July August September October November December January February March April May June Submitted by Date Instructions Indicate each month and mark an X in the box for each day that you teach. The Home Study Program requires 180 instructional days or its equivalent. Please complete an individual form on each home school child. k12. ga*us Address Ga* Department of Education 205 Jesse Hill Jr. Dr. SE City/St*/Zip Atlanta GA 30334 Telephone 404 463-1765 Student name Fax 404 344-4450 Days Months days taught this month yearto-date July August September October November December January February March April May June Submitted by Date Instructions Indicate each month and mark an X in the box for each day that you teach. The Home Study Program requires 180 instructional days or its equivalent. Please complete an individual form on each home school child.