Dss Form 1302 - Family Independence Supervised Homework Hours

Download a blank fillable Dss Form 1302 - Family Independence Supervised Homework Hours in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Dss Form 1302 - Family Independence Supervised Homework Hours with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Reset
South Carolina Department of Social Services
Family Independence
SUPERVISED HOMEWORK HOURS
Please complete report and return to case manager by:
Part I
To be completed by the Case Manager
Name of Student:
Case No.:
Name of School:
Address:
Case Manager:
Case Manager’s Telephone No.: (
)
Social Security No.: XXX-XX-
Name of Class:
Begin/End Date of Class:
Quarter/Semester:
Report Month/Year:
1
st
Week Beginning:
2
nd
Week Ending:
Part II
To be completed by instructor/school designee/study hall monitor.
Scheduled Activity:
GED
Education Related to Employment
College
Other:
Class Name:
Attendance: Enter Hours Present
or
H-Holiday
N-Not Scheduled
M
TU
W
TH
FR
SA
S
1
st
Week
2
nd
Week
Note: Attendance hours must be verified every two (2) weeks.
I certify that these hours are actual and true.
Instructor/School Designee/Monitor’s Signature
Date
* Note to Case Manager: Total homework time counted for participation cannot exceed hours certified by the institution
when combined with unsupervised homework hours. See DSS 1301.
DSS Form 1302 (OCT 09)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Supervision Contract For Independent Supervision - Bcba Supervision Contract For Independent Supervision - Bcba Business
Form Sc Sch. Tc-12-a - Additional Credit For Employer's Hiring Recipients Of Family Independence Payments In A Least Developed County Form Sc Sch. Tc-12-a - Additional Credit For Employer's Hiring Recipients Of Family Independence Payments In A Least Developed County Financial
Form Sc Sch.tc 12 - Credit For Employers Hiring Recipients Of Family Independence Payments Form Sc Sch.tc 12 - Credit For Employers Hiring Recipients Of Family Independence Payments Financial
Form Sc Sch.tc 12 - Credit For Employers Hiring Recipients Of Family Independence Payments Form Sc Sch.tc 12 - Credit For Employers Hiring Recipients Of Family Independence Payments Financial
Form Sc Sch.tc-12-a - South Carolina Additional Credit For Employers Hiring Recipients Of Family Independence Payments In A Distressed County Or Least Developed County Form Sc Sch.tc-12-a - South Carolina Additional Credit For Employers Hiring Recipients Of Family Independence Payments In A Distressed County Or Least Developed County Financial
Form Sc Sch.tc 12 - Credit For Employers Hiring Recipients Of Family Independence Payments Form Sc Sch.tc 12 - Credit For Employers Hiring Recipients Of Family Independence Payments Financial
Dss Form 3359 - Application For Participation Dss Form 3359 - Application For Participation Legal
Dss Form 1905 - Referral For Iv-e Eligibility Determination - South Carolina Department Of Social Services Dss Form 1905 - Referral For Iv-e Eligibility Determination - South Carolina Department Of Social Services Legal
Dss Form 1613-1 - Internal Controls - South Carolina Department Of Social Services - Child And Adult Care Food Program Dss Form 1613-1 - Internal Controls - South Carolina Department Of Social Services - Child And Adult Care Food Program Legal
Dss Form 1503 - Assurance Of Compliance With The Department Of Health And Human Services Regulation Under Title Vi, Section 601 Of The Civil Rights Act Of 1964, As Amended Dss Form 1503 - Assurance Of Compliance With The Department Of Health And Human Services Regulation Under Title Vi, Section 601 Of The Civil Rights Act Of 1964, As Amended Legal

Related Categories

Parent category: Legal
Download
Go
Page of 2