Home Visit/Parent Conference Form

August 6th, 2009

Why and Purpose

• Performance Standards

• 2 home visits

• 2 conferences

• Parents must be invited to give input into the curriculum and lesson plans

• Policy and procedure on website

Parent Home Visit/Parent Conference formEducation and Early Childhood Development 1304.21 (a)(2)(i),(iii)

Family Partnerships 1304.40 (e)(1) & (5), 1304.40 (i)(2)

South Plains Community Action Association Head Start & Early Head Start Division

Site Name: _____________________________ Time: B: _______E: ________

Teacher: _______________________________ Site: _______Phone: _______

Child’s Name: ___________________________ Address: _________________

Parent Home Visit/Parent Conference Form (Circle One)

Description: ______________________________________________________________

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Upcoming Themes are:

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My Goals for My Child and Comments: (Parent-Please do not leave blank.)

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Parent Ideas for Lesson Plans and Curriculum: (Parent-Please do not leave blank.)

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Parent’s Signature: ____________________________ Date: _____________

Teacher’s Signature: ___________________________ Date: _____________

WHITE: Child’s Folder Yellow: Parent’s Copy

Things to cover during home visits and parent conferences

– Parent meetings– Reading Connection Backpacks– Volunteering– Children’s securities and insecurities– Items needed: extra change of clothes, nap time bedding– Wish list– Parties– Progress of child at school (if completed after school begins)– Nutritional Needs/Menu – Screening Results (all developmental screenings)– Overall Health of the child– Parent Ideas for Lesson Plans and Curriculum – Pedestrian Safety and Bus Evacuation Training– Other topics etc.

Things to cover during home visits and parent conferences

• Summer activities• Transition plans• Parent meeting• Volunteering• Child Outcome Portfolios• LAP-3 Assessment-mastered/emerging skills and a copy

provided• Progress of child at school• Nutritional Needs of the child• Overall Health of the child• Parent Ideas for Lesson Plans and Curriculum • End of year activities• Other topics etc.

Education Missed Home Visit SlipSouth Plains Community Action Association

Head Start /Early Head Start Division

Education Missed Home Visit Slip To: __________________________________________________________________ (Parent/Guardian Name) I came by for our scheduled home visit with ___________________________and you. (Child’s Name) I will schedule with you another convenient time for a Home Visit. If you have any questions or comments, you can call me at _________________________, or you can call the Associate Director of Operations at 806-762-8815 or 1-800-658-9632. ____________/__________ ______________________________________ Date Time Teacher Signature (White-Parent) (Yellow-Supervisor) (Pink-Child’s Folder) ---------------------------------------------------------------------------------------------------------------------------------------

South Plains Community Action Association

Head Start /Early Head Start Division

Education Missed Home Visit Slip To: __________________________________________________________________ (Parent/Guardian Name) I came by for our scheduled home visit with ___________________________and you. (Child’s Name) I will schedule with you another convenient time for a Home Visit. If you have any questions or comments, you can call me at __________________________, or you can call the Associate Director of Operations at 806-762-8815 or 1-800-658-9632. ____________/__________ ______________________________________ Date Time Teacher Signature (White-Parent) (Yellow-Supervisor) (Pink-Child’s Folder)

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South Plains Community Action Association

Head Start /Early Head Start Division

Education Missed Home Visit Slip To: __________________________________________________________________ (Parent/Guardian Name) I came by for our scheduled home visit with ___________________________and you. (Child’s Name) I will schedule with you another convenient time for a Home Visit. If you have any questions or comments, you can call me at __________________________, or you can call the Associate Director of Operations at 806-762-8815 or 1-800-658-9632. ____________/________ ______________________________________ Date Time Teacher Signature (White-Parent) (Yellow-Supervisor) (Pink-Child’s Folder)

Who we are here for...families and children