Statement of Compliance Form

Statement of Compliance
Home Educator

First NameLast Name
E-mail

Confirmation Email
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this a new address?
High School Students report grades here:

http://www.lowcountryhomeschool.com/member-area/report-grades-8th-12th/
School Year
Student #1

First NameLast Name
Promoted to or Retained in Grade Level
Student #2

First NameLast Name
Promoted to or Retained in Grade Level
Student #3

First NameLast Name
Promoted to or Retained in Grade Level
Student #4

First NameLast Name
Promoted to or Retained in Grade Level
Student #5

First NameLast Name
Promoted to or Retained in Grade Level
Student #6

First NameLast Name
Promoted to or Retained in Grade Level
Attendance
Attendance Plan (List student name, number of days needed, estimated date of completion.)
SAT/ACT TOTAL SCORES & DATE TAKEN:
By clicking submit, I acknowledge the information inputted herein are true. RECORD KEEPING: I understand that it is my responsibility to maintain ALL educational records including transcripts. Educational Records shall include:(1) a plan book, diary, or other record indicating subjects taught and activities in which the student and parent-teacher engage (2) a portfolio of samples of the student’s academic work (3) a semiannual progress report including attendance records and individualized documentation of the student’s academic progress in each of the basic instructional areas specified in the law. ATTENDANCE: I have fulfilled the required 180 days or will do so over the summer as indicated above.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: