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: Homeschool
1311 Balboa Ave, 
Panama City, FL 32401
 
homeschool@bay.k12.fl.us 
(850) 767- 4122