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#4019

 

SUSQUEHANNA TOWNSHIP SCHOOL DISTRICT

Harrisburg, Pennsylvania 17109

 

POLICY

HOMEBOUND INSTRUCTION

When a parent first becomes aware of the fact that a student will miss ten consecutive days of school, the parent should request a homebound instruction application form from the building principal. A recommendation for homebound instruction form the student’s physician (psychiatrist in the case of psychological disorder) is necessary to complete the form. As soon as the principal has received the form he/she will contact teachers to arrange a schedule and send a copy of the request form including medical recommendation to the building attendance clerk and the director of pupil services.

 

Homebound instruction will not be provided for students with contagious diseases. If a parent has arranged for private tutoring prior to requesting homebound instruction, this cannot be called homebound or reimbursed by the district. The principal, not parent, contacts faculty members and substitute teachers because a homebound tutor must have proper certification, a physical examination, and Act 34 and Act 151 clearances, as well as being approved by the school board prior to accepting a homebound assignment. Students may receive up to five hours of instruction a week to be divided among major subjects as needed.

 

It is the responsibility of each tutor to keep a record of hours on a district time sheet and a record of lessons taught. It is the principal’s responsibility to inform each tutor of this and to verify and approve the time sheets before submitting them to the office for payment.

 

The regular classroom teachers of the student are requested to provide homebound instruction for the sake of continuity. Teachers unable to provide homebound instruction will be asked to provide a syllabus, textbooks for student and instructor, assignments, and subject examinations if required for course completion. Homebound teachers will provide grades for work accomplished with the classroom teacher assigning the final course grades.

 

A doctor’s excuse from school cannot be accepted as a request for homebound nor can a request for homebound for psychological reasons be accepted from anyone other than a board certified psychiatrist.

 

 

 

Approved by the School Board – June 8, 1987

Revised by the School Board – January 8, 1990

 

 

 

 

 


 
 
SUSQUEHANNA TOWNSHIP SCHOOL DISTRICT

Harrisburg, Pennsylvania 17109

 

REQUEST FOR HOMEBOUND INSTRUCTION

 


 

 

Building

 

S.L._______     T.W.H._______                                   Name ___________________________________________


M.S._______    H.S._______                                       Address__________________________________________
 
                                                                                                  __________________________________________


 

________________________            ___________            ______             ______________
Name of Homeroom Teacher              Birthdate                    Grade               Home Telephone

 

I have arranged for the following teachers or substitutes to provide instruction as follows:

               Teacher                                              Certification                        Hours Per Week

__________________________      __________________________      ______________

__________________________      __________________________      ______________


Total hours must not exceed five per week

 

Instruction will begin: ________________    ___________________________________  
                                        Date                                  Building Principal

 

Date student returns to school must be reported to district office.

---------------------------------------------------------------------------------------------------------------------

Medical Report

(if separate, please staple)


 


__________________________________________                   __________________________
                        Diagnosis                                                                    Date

Date of onset ______________________       Probable Duration __________________________

In my opinion, the above named student is unable to attend school, but is able to receive instruction at home for                         _________hours per week.

 


_______________________           _________________    ______________________________
Type Name of Physician                     Phone Number            Signature of Attending Physician
 
****************************************************************************************************************************************************************

This report was reviewed and approved.


                                                                                                __________________________________
                                                                                                                                             Signature of District Official

School Board Approval

The Susquehanna Township School District has approved Homebound Instruction for the above named student for the ______________________ school year.

                                                                                                 

Date of Approval

__________________________________

 

January 8, 1990