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This worksheet assists educational institutions in maintaining compliance with state requirements by recording student information, full-time equivalent (FTE) status, and details regarding the teachers providing the instruction. It is intended for both general and special education settings, ensuring that schools retain accurate records for audit purposes. The form is structured to be filled out digitally or printed, streamlining the administrative process for managing HHI programs during summer or regular academic terms. By standardizing this data collection, the document supports the effective monitoring and reporting of educational services delivered outside of the traditional classroom environment.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":57,"@type":76,"position":81},"https://docshare.wps.com/document/general/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/homehospital-instruction-hhi-work-sheet-illinois-state-board-of-education/534804/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/homehospital-instruction-hhi-work-sheet-illinois-state-board-of-education/534804.png","ImageObject",300,407,{"name":92,"@type":93},"Mia  ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-17","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of the HHI Work Sheet?","Question",{"text":112,"@type":113},"The worksheet is used to document necessary data for demonstrating compliance with Home/Hospital Instruction (HHI) requirements for students who cannot attend traditional classrooms.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Who should use this worksheet?",{"text":117,"@type":113},"Educational staff and administrators who provide or manage Home/Hospital Instruction for both general and special education students use this form to track program compliance.",{"name":119,"@type":110,"acceptedAnswer":120},"How should the completed worksheet be managed?",{"text":121,"@type":113},"The worksheet should be saved to a hard drive for future updates or printed for record-keeping and local audit purposes as required by the Illinois State Board of Education.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},534804,1791829503,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":56,"category_name":57,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":14},687207024478,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Use your \"Mouse\" or \"Tab\" key to move through the fields and check boxes. After completing last field, save document to hard drive to make future updates or click print button.   \n100 North First Street, W-270 Springfield, Illinois 62777-0001  \nHOME/HOSPITAL INSTRUCTION (HHI) WORK SHEET  \n Summer Term 20    Regular Term 20  – 20    \n\n| NUTRITION AND WELLNESS DIVISION |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| This worksheet is used to document the data necessary to demonstrate compliance with Home/Hospital Instruction (HHI) . Retain this worksheet locally for audit purposes. |  |  |  |  |  |  |  |\n| GENERAL EDUCATION OR\u003Cbr>SPECIAL EDUCATION 1 |  | NAME OF STUDENT\u003Cbr>RECEIVING HHI\u003Cbr>2 | STUDENT\u003Cbr>FULL TIME\u003Cbr>EQUIVALENT\u003Cbr>{FTE}\u003Cbr>3 | NAME OF TEACHER\u003Cbr>PROVIDING HHI\u003Cbr>4 | IEIN OF TEACHER\u003Cbr>PROVIDING HHI\u003Cbr>5 |  |  |\n| | GENERAL EDUCATION SPECIAL EDUCATION |  |  |  |  |  |  |\n| | GENERAL EDUCATION SPECIAL EDUCATION |  |  |  |  |  |  |\n| | GENERAL EDUCATION SPECIAL EDUCATION |  |  |  |  |  |  |\n| | GENERAL EDUCATION SPECIAL EDUCATION |  |  |  |  |  |  |\n| | GENERAL EDUCATION SPECIAL EDUCATION |  |  |  |  |  |  |\n| | GENERAL EDUCATION SPECIAL EDUCATION |  |  |  |  |  |  |\n| | GENERAL EDUCATION SPECIAL EDUCATION |  |  |  |  |  |  |\n| | GENERAL EDUCATION SPECIAL EDUCATION |  |  |  |  |  |  |\n| | GENERAL EDUCATION SPECIAL EDUCATION |  |  |  |  |  |  |\n| | GENERAL EDUCATION SPECIAL EDUCATION |  |  |  |  |  |  |\n| | GENERAL EDUCATION SPECIAL EDUCATION |  |  |  |  |  |  |\n| | GENERAL EDUCATION SPECIAL EDUCATION |  |  |  |  |  |  |\n| ISBE 50-50 (11/16) |  |  |  |  |  |  |  Reset Form  |\n|  |  |  |  |  |  | Print |  |","cbCaiqajpSPB1VcO","https://ap.wps.com/l/cbCaiqajpSPB1VcO","pdf",197708,"English","# Home/Hospital Instruction (HHI) Overview\n## Compliance and Usage\n## Data Collection Fields\n## Administrative Actions","[{\"question\":\"What is the purpose of the HHI Work Sheet?\",\"answer\":\"The worksheet is used to document necessary data for demonstrating compliance with Home/Hospital Instruction (HHI) requirements for students who cannot attend traditional classrooms.\"},{\"question\":\"Who should use this worksheet?\",\"answer\":\"Educational staff and administrators who provide or manage Home/Hospital Instruction for both general and special education students use this form to track program compliance.\"},{\"question\":\"How should the completed worksheet be managed?\",\"answer\":\"The worksheet should be saved to a hard drive for future updates or printed for record-keeping and local audit purposes as required by the Illinois State Board of Education.\"}]","Home/Hospital Instruction (HHI) Work Sheet - Illinois State Board of Education | PDF",1791599088]