Instructional Time Model Template for School Districts and Charter Schools

In the 2021 Legislative session, H.B. 2862 was passed and enacted (Laws 2021, Chapter 299 as amended by Laws 2021, Chapter 404), authorizing school districts and charter schools to adopt Instructional Time Models (ITMs) to provide flexibility in the method and manner in which instructional hours are provided students.

School districts and charter schools should use this template to notify the Department of adopted ITMs for School Year 2021-2022 and the contents of their adopted ITM. 

The Department intends for one document to be submitted per school district or charter school that describes the types of flexibility that will be implemented for School Year 2021-2022 and the extent to which instruction will deviate from a traditional 5-day week, 180-day year model. 

For more information on the types of flexibility authorized and the associated school finance procedures please review School Finance Guidance on HB 2862 and our FAQ on HB 2862.

The Department intends for ITMs to be submitted by September 30 for School Year 2021-2022, however an ITM will be in effect after the governing board meets the requirements to adopt an ITM pursuant to H.B. 2862, not upon submission to the agency.  This means an ITM would apply to the full school year in which it is adopted rather than beginning on an ITM submission date of September 30, 2021.  ITM submissions to the agency will be used to ensure there is a clear understanding of the operationalized flexibilities authorized in H.B. 2862 and the processes school districts and charter schools will be utilizing to document attendance for future audit purposes.

  Please remember that if remote instruction is provided as part of an ITM there are limitations on the percentage of a school sites total instructional hours before funding is impacted.

Instructional Time Model Template for School Districts and Charter Schools

* required field

LEAs should only submit one ITM. If individual schools within a district are providing unique instructional programs, we encourage school districts to incorporate that information into one ITM ​and describe in detail the unique approach at each school, as opposed to completing additional templates.

Please contact [email protected] with any questions.

LEA Information
Please enter your LEA Entity ID -- not CTDS number or School Entity ID.
This is the individual who will be contacted with questions about the plan.
Calendar Tracking

Calendars & Attendance Tracking

Check the below boxes to indicate all instructional methods that are being utilized as part of this ITM.

If you selected "Other," please describe the model(s) here.

Please include an explanation of how time spent in each method will be used to replace instruction that would otherwise be provided in a teacher-led, in-person classroom on specific calendar days. Explain how instructional time will be measured and used to replace otherwise in-person instructional days on the school calendar.

Please explain in detail how students will be reported as present and participating in remote instruction or absent on the corresponding calendar days.

For example, an ITM might explain that students will not attend school in-person on Fridays and instead students will be assigned a project designed to take six hours that will be completed over the weekend and students will then be reported as present or absent for the preceding Friday based on progress/completion of the project.

Participation in any instruction provided outside of a teacher-led, in-person classroom must be connected to attendance on scheduled instructional day on the submitted and certified school calendar in order for the district or charter to generate Average Daily Membership and appropriate funding.

The description must include the specific measures that will be used to determine whether a student participating in remote instruction will be reported as present or absent on days when instruction does not take place in person. Attendance tracking may include (but is not limited to) methods such as:

  • Communication with their teachers via telephone, ZOOM, MS Teams, or other digital meeting software.
  • Student participation in a virtual meeting or classroom session (ZOOM, MS TEAMS, Google Meets, etc.)
  • Daily assignments completed and submitted by the student.


The school district is advised that ADE will continue to issue guidance on the topic of attendance, and should closely monitor updated information related to these expectations.

School Information

Below, list the schools this plan applies to. Add schools as needed to account for all schools in this ITM.

NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #2
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #3
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #4
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #5
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #6
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #7
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #8
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #9
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #10
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #11
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #12
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #13
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #14
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #15
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #16
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #17
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #18
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #19
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #20
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #21
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #22
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #23
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #24
NOTE: Please list the school entity ID -- not your LEA Entity ID.
School #25
NOTE: Please list the school entity ID -- not your LEA Entity ID.
Additional Schools

If more than 25 schools are included in this ITM, please enter the following information for the remaining schools in the below textbox. 

  • School Name
  • School Entity ID
  • CTDS

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