F3 PROCEDURES
SOUTH BURLINGTON SCHOOL DISTRICT
PARTICIPATION OF HOME STUDY STUDENTS IN SCHOOL DISTRICT
PROGRAMS AND ACTIVITIES
ADMINISTRATIVE PROCEDURES
In response to a request for a home study student to participate in courses, programs, activities, services, and use of school educational materials, equipment, and facilities the appropriate school principal or designee shall:
1) Provide the applicant with the attached Home Study Support Request form to clearly define the nature of the support or access to school services that is desired.
2) Ensure that all related procedures, deadlines, and standards that apply to full-time students shall apply to home study students.
3) Discuss the request with the applicant, should further clarification be required, subsequent to submission of the Home Study Support Request form.
4) Make a determination regarding the request that is consistent with policy as it applies to all full-time students.
5) Ensure that enrollment in academic classes is based on the registration process as applies to all full-time students. Driver Education represents an exception in which full-time students will be given priority.
6) Ensure that a student has a fully approved home study program in order to be eligible for participation in co-curricular or extra curricular activities under the same guidelines as all full-time students.
7) Ensure that appropriate support is provided should the request be granted or shall complete the attached Vermont Department of Education form should a request for participation in co-curricular or extra-curricular activities be denied.
8) Provide the opportunity for appeal within five school days should a request be denied. Such appeal should be directed to the superintendent in written form. The superintendent shall respond, in writing, to such appeal within ten school days. Should the superintendent support the principal’s denial of the request, the applicant may appeal, in writing, to the school board within five school days. The board shall consider the matter and render a decision in writing, within ten school days.
9) Issue information on home schooling and home schooling procedures upon request.
Student Name: _____________________________ Date of Birth: __________________
Parent Guardian: __________________________
Street Address: _________________________________________________________________
Home Phone: __________________ Work Phone: _______________________
Cell Phone: ____________________ email address: ______________________
Specific Support Request: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Location of Service: ____________________________________________________________
Frequency, Time, and Dates of Service Being Requested: ____________________________________________________________________________________________________________________________________________________________
School supplies, materials, equipment, texts, audio-visual materials, technology, et cetera included in this request: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Transportation
______________________________________________________________________________
______________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________
What contingency plan exists should normal drop off and pick up connections are not possible? ______________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________
How will communications occur between home and school concerning changes of schedules, et cetera?
____________________________________________________________________________________________________________________________________________________________
If the home study student is enrolling in class, during what specific intervals is the school providing supervision and at what intervals will the home study sponsor provide supervision?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Who is the home study contact person for purposes of this request?
____________________________________________________________________________________________________________________________________________________________
Should this request be for access to existing classes or programs, is the applicant aware that all state and school regulations apply, including those related to immunization, school rules, attendance, and responsibility for damages? __________________________________________
____________________________________________________________________________________________________________________________________________________________
Is there other relevant information regarding this request? If so, please elaborate: ____________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Signature of Applicant: _______________________________ Date: _____________________
Determination of Principal with comments, if necessary:
q Approved
q Approved with modifications including:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
q Denied (reason) _______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
If a request for a student’s participation in a co-curricular or extra-curricular activity is denied, the principal must complete the Vermont Department of Education denial form in accordance with Education Rule 4404.4.
DEPARTMENT OF EDUCATION
DENIAL OF A HOME STUDY STUDENT’S REQUEST
FOR PARTICIPATION IN A
Statutory Authority: 16 V.S.A. §563(24)
State Board of Education Rule: 4404.4
Date: ___________________________________________
Supervisory Union: _____________________________________________________________
School: ______________________________________________________________________
Principal: _____________________________________________________________________
Name of Student Requesting Participation: __________________________________________
Address of Student: _____________________________________________________________
Name of Parent/Guardian of Student: _______________________________________________
Activity Requested: _____________________________________________________________
Date of Request: _______________________________________________________________
Date of Denial: ________________________________________________________________
Reason for Denial: _____________________________________________________________
Please mail this form to: Karen Agnew or Julie Kuk
Vermont Department of Education
120 State Street
Montpelier, VT 05620-2501