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INDEPENDENT SCHOOL DISTRICT 196 Rosemount, Minnesota Educating our students to reach their full potential Series Number__640.2.2P _ Adopted_April 1999 _ Revised__June 2001 ‘Title__Application for Shared Time Enrollment of Home School Students in High School Curricular Courses TO HOME SCHOOL: If one of your students would like to take a public high school (grades 9-12) course during the next school year, as described in Administrative Regulation 640.2.2AR, Home School Shared Time Students in High School Curricular Courses, please complete this application form and return it by June 1 to: Director of Community Education, 15180 Canada Avenue, Rosemount, MN 55068. [GENERAL INFORMATION - Please print ‘Student name Date of birth Parent/Guardian namefs) = _ ‘Address City/zZip 7 {4 (oa) Tome phone Work phone District 196 school attendance area Ihave read Administrative Regulation 640.2.2AR, Home School Shared Time Students in High School Curricular Courses: Yes O1No eee Signature of Parent or Guardian (or student i 18 years of age or older) Date DISTRICT 196 COURSE(S) REQUESTED, School Year: 20___= Grade Course - forO1 02 O3Trimester or O1 O2 03 04 Quarter Course forO1 02 O3 trimester or O1 O02 03 04 Quarter At District 196 high school checked below: Apple Valley High School, 14450 Hayes Rd., Apple Valley i Eagan High School, 4185 Braddock Trl., Eagan O Eastview High School, 6200 140th St. W., Apple Valley O Rosemount High School, 3335 142nd St. W., Rosemount INDEPENDENT SCHOOL DISTRICT 196 Rosemount, Minnesota Educating our students to reach their full potential Series Number___640 Adopted _February 1989 _ Revised_July 1999 ‘Title_Shared Time and Other Services Available to Nonpublic Schools 1. Definition -- For the purposes of this policy, nonpublic schools are defined as traditional private and parochial schools, and home schools. 2. Available Programs, Materials and Services 2.1, In accordance with state and federal law, specific District 196 programs, materials and services shall be made available to nonpublic schools and students enrolled in nonpublic schools within the boundaries of District 196. 2.1.1 The superintendent or designee shall annually send information about programs, materials and services available to nonpublic schools in District 196. 2.1.2. All nonpublic schools located in District 196 that are in compliance with the Minnesota compulsory attendance law shalll have equal access to these programs, materials and services. 2.2 Home school high school students may enroll in District 196 high school courses, as described in Administrative Regulation 640.2.2AR, Home School Shared Time Students in High School Curricular Courses. 2.3 Home school students may participate in District 196 cocurricular activities, as described in Administrative Regulation 640.2.3AR, Home School Student Participation in Cocurricular Activities 3. Changes in Programs, Materials and Services -- The programs, materials and services available may change in accordance with federal and state laws, rules and regulations, and at the discretion of the District 196 Board of Education, within the limits of state and federal law. References: - Minnesota Statute 1238.49, Board control of extracurricular activities - Minnesota Statute 126C,19, Shared Time Aid @|20fI5 Paent Prone Col: GH grade Student 2016-Io YO Wonts 2 covsses ot end oo doy belo Nolleybel\ Home School in the mot nings Schedule’ Into bb Ad - 4:20 hk ( Eotth Science. -offeed evety Ar » Choit - 10:15 on do School tomorrow) * F7/ out C4O2AP frm

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