Florida Homeschool Report Card Template

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Student & School Year

School year:

Grade level:

Student name:

Date of birth:

Parent / Guardian:

Address:

Subjects & Progress

Subject	Units / Topics Covered	Grade / Progress
Language Arts	Units / Topics Covered	Grade / Progress
Mathematics	Units / Topics Covered	Grade / Progress
Science	Units / Topics Covered	Grade / Progress
Social Studies	Units / Topics Covered	Grade / Progress
Health / Physical Education	Units / Topics Covered	Grade / Progress

Curriculum Materials (Free-form)

List curriculum materials used by subject (free-form).

Days of Instruction

Annual instructional log — Florida families track days privately under §1002.41.

Month	Days Possible	Days Completed	Absences

Annual Educational Evaluation

Method of evaluation:

Immunization Record

Immunization status (Form DH 680 / exemption):

Parent Signature

Parent signature:

Printed name:

Date:

Filing Notes

Tier 2 — notification-only with annual evaluation tier. Families file a Notice of Intent with the local school district, maintain a portfolio of work samples for an annual evaluation by a Florida-certified teacher, and keep an immunization record (Florida Form DH 680 or exemption). Source: Florida Statutes §1002.41 and FDOE homeschool guidance.