Get Homebound Application - Colorado Springs School District 11 - D11

This guide provides comprehensive, step-by-step instructions for users on how to effectively fill out the Homebound Application for Colorado Springs School District 11 online. The application is essential for students unable to attend school due to medical conditions.

Follow the steps to complete the Homebound Application successfully.

1. Click ‘Get Form’ button to obtain the application form and open it in the editor of your choice.
2. Begin filling out the form by entering the student's name, school, address, zip code, grade, and birthdate in the designated fields.
3. Provide the home and work phone numbers of the parent or guardian responsible for the application.
4. Indicate whether the student is receiving services for a 504 plan or an Individualized Education Program (I.E.P.) by checking the appropriate box, if applicable.
5. Print the parent or guardian's name and provide their signature at the bottom of this section.
6. In the Statement of Physician section, enter the probable length of time the student will be unable to attend school, specifying it must exceed 10 consecutive days or total more than 10 full days.
7. If applicable, provide the expected due date if the student is pregnant and includes any pertinent medical risks that prevent school attendance prior to delivery.
8. Describe the medical issue that prevents the student from attending school. Include any procedures for communicable diseases if necessary.
9. Fill in the calendar dates the student is expected to be excused from school and the approximate return date.
10. Ensure that the physician from whom you are obtaining a signature is licensed in Colorado. Include their name, signature, address, telephone number, and the date signed.
11. For additional support, fill out any necessary sections related to the staffing committee or discipline officer, if applicable, including the statement of the problem and duration of homebound instruction.
12. Finally, double-check all fields for accuracy, save your changes, and then proceed to download, print, or share the completed form as needed.

Take the first step towards obtaining necessary support by completing the Homebound Application online today.