Annual Evaluation

                           

 

  

                                                                                            Bay District Schools

                                                                              Division of Teaching and Learning Services

                                                                 HOME SCHOOL EDUCATION ANNUAL EVALUATION

 

 Printable Home School Education Annual Evaluation Form 

 

**Pursuant to Section 837.06, Florida Statutes (2008), whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor of the second degree.

                                                                                                         

 

 Upon review of the portfolio and discussion with the student named below, I have found that the pupil demonstrated progress at a level commensurate with his/her ability.  0 YES           0 NO 

 

Name of Florida Certified Teacher/Evaluator (Please Print):_________________________________________________

 

Signature of Florida Certified Teacher/Evaluator:___________________________________________________________

 

 Certificate Number:__________________________________________________________________________________

 

               Date of Certificate:__________________________________________________________________________________

 

               Expiration:_________________________________________________________________________________________

 

**Pursuant to Florida Statute 1002.41 and Bay District Schools Board Policy 8.901:If the evaluation does not demonstrate educational progress at a level commensurate with the student’s ability, the Superintendent shall notify in writing the parent or guardian. The parent or guardian shall have one (1) year from the date of receipt to such letter to provide remedial education, after which time the student shall be reevaluated as established above. At the conclusion of the one (1) year period, continuation of the home education program shall be contingent upon student demonstration of educational progress commensurate with his/her ability.

                                                                                  PLEASE PRINT

 

 

Student’s Name:                                                                                                                    Date of Birth:_______________

 

Student’s Address: __________________________________________________________________________________

             Street Address:______________________________________________________________________________________

 

             City:_____________________________State:_____________________ Zip:____________________________________

 

 

 Parent/Guardian’s Name:_______________________________________________________________________________

 

Parent/Guardian Signature:                                                                                                                                                            

         Date of Evaluation:_______________


Return to:

Bay District Schools Home Education Department

Attn: Debi Howell

1515 June Ave, Bldg 5

Panama City, FL 32405


 

 

 

 

 

Location
1311 Balboa Avenue
Panama City, FL 32401
(850) 767-4100
William V Husfelt III
Superintendent, Bay District Schools
Office of the Superintendent
Shirley Baker
Equity Coordinator
bakersy@bay.k12.fl.us
850-767-4223
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