HomeConnection Parent Interest Survey
Thank you for your interest in HomeConnection. We would love to hear more about your student. Please take a minute and fill out this survey. We will email you to schedule an orientation time. During orientation, you will hear more about how we partner with you in your child's education. We will also give you a school tour.
If we are good fit, we can begin the registration process. We are so excited to hear more about your family and your educational journey.
Email address *
Have you successfully completed 90 days of homeschooling? *
What is your student's last name? *
Your answer
What is your student's first name? *
Your answer
What is your student's birth date? *
What will your student's grade level be in Fall 2018? *
Please provide a parent FULL name. *
Your answer
Please provide a parent contact phone number *
Your answer
What is your home address? with city & zip *
Your answer
What is your Resident School District? *
What school does your student currently attend? *
Does your student have a past or current IEP or 504? *
Is your student in the process or currently being evaluated for an IEP *
Tell us more about , your student, and your concerns and your journey.
Your answer
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