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Home Study Program Annual Attendance

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  INSTRUCTIONS
  1.  Fill in the name and address of the Home Study Program as it appears on your Declaration of Intent to utilize a Home Study Program.
  2.  Fill in the beginning and ending dates for the school year as they appear on your Declaration of Intent to utilize a Home Study Program.
  3.  List each student's name as it appears on your Declaration of Intent to utilize a Home Study Program.
  4.  For each applicable month, check the box for each day that satisfies the instructional requirements for the minimum 180-day school year or its equivalent.
  5.  Click 'Submit Your Annual Attendance' button to submit your annual attendance report to the Georgia Department of education.
  6.  REMINDER: This document cannot be saved. Please keep accurate attendance records and input all the instructional dates onto this form prior to submitting on your last day of home school.
  *    
  PRINT NAME OF PARENT/GUARDIAN   SUBMITTED TO  
  *    
  ADDRESS   DISTRICT  
  *
    *
*
*   *
 
 
CITY   STATE   ZIP CODE
 
BEGIN DATE   END DATE   YEAR
 

Student 1Student 2Student 3Student 4Student 5
*
ENTER STUDENT NAME HERE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 TOTAL MONTH DAYS
  JANUARY
  FEBRUARY
  MARCH
  APRIL
  MAY
  JUNE
  JULY
  AUGUST
  SEPTEMBER
  OCTOBER
  NOVEMBER
  DECEMBER
STUDENT 1 TOTAL ANNUAL ATTENDANCE DAYS: