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Individualized home instruction plan sample 2026

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  1. Click ‘Get Form’ to open the individualized home instruction plan sample in the editor.
  2. Begin by filling out the 'Child’s Information' section. Enter the last name, first name, date of birth, and grade level for the school year 2019-20. If known, include the 9-digit NYC Student ID number.
  3. Next, complete the 'Parent’s Information' section. Provide your last name, first name, home address (including apartment number), city, state (NY), zip code, home telephone number, alternate telephone number, and email address.
  4. In the 'Subjects' section, list all subjects you plan to cover. Ensure you include required subjects such as Arithmetic, Reading, and Science. You may also attach syllabi or curriculum materials if necessary.
  5. Indicate the dates for quarterly report submissions in the designated area. Make sure these dates align with your instructional period.
  6. Finally, provide names of individuals who will be providing instruction and ensure that parents or legal guardians sign where indicated.

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An Individualized Home Instruction Plan, or IHIP for short, is a report provided to the state that may include: A syllabus of each subject. Curriculum materials. Textbooks/ebooks to be used including the name, publisher, and copyright data. A courses scope and sequence of instruction.
Individualized Home Instruction Plan (IHIP)
The purpose of home and hospital instruction is to provide instruction to a student with a temporary disability in the students home or in a hospital or other residential health facility, excluding state hospitals.

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