| 1. | Home Education Student information Curriculum being followed: Teacher(s): Background Information: |
| 2. | Work Environment including any community resources, time at school, time spent with teacher, peers, self) |
| 3. | Progress in the Home education Learning Plan (quality/completeness of the plan) |
| 4. | Instructional Methods and Resources (availability and use of a variety of resources) |
| 5. | Assessment and Evaluation of student Achievement (appropriateness of the assessment tools, frequency of measures, seeing progress in student achievement level) |
| 6. | Recommended Conditions of Approval (any required actions for teacher & follow up date? Student plan for following school year?) |