Planned yearly instruction

for the required number of school days

Student _______________________ Parent ____________________________

Supervising Teacher ______________________________________________

Number of hours per day of instruction___________________________

Grade of student __________________________________________________

Instructor _________________________________________________________

Planned Instruction Texts

Language Arts___________________________________ ISBN ________________
Science ________________________________________ ISBN ________________

History/Geography ______________________________ ISBN ________________
Art ____________________________________________ ISBN ________________

Music __________________________________________ ISBN ________________
Physical Education_______________________________ ISBN ________________

Unit Studies_____________________________________ ISBN ________________
Spiritual Study __________________________________ISBN ________________

Other__________________________________________ ____________________

Other__________________________________________ ____________________

Other__________________________________________ ____________________

Other areas of focus for our school year

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

In addition, we intend to participate in:

(check appropriate box)

___________________________________________________________

___________________________________________________________