Joplin Parents as Teachers Enrollment Form
Please provide the following information to help us serve your family in the best way possible.  If you have questions about this form, please call Kerri Clouse at 417-208-2069.

Joplin Parents as Teachers is a FREE home visiting program offered through the Joplin School District. It is designed to provide parents with early childhood information to help build their children’s intellectual, language, social, and physical development. Joplin School District residents and their children are eligible to participate in the program from prenatal to kindergarten entry. We offer home visits, developmental screenings, family group activities and connections to community resources.

What’s involved in a home visit? Visits are scheduled at a convenient time and place for both the family and parent educator. During home visits, parent educators share development information and ideas based on the child’s age, discuss parenting concerns, and share fun activities that help parents and children play together. Home visits are also a chance for parents to share what their child has been doing, ask questions and follow up on ideas the parent educator has offered. Parent educators encourage and support the parent in their parenting journey. 

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Email address: *
Parent/Guardian Name: *
Address: *
Phone number: *
Child name: *
Child date of birth: *
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Second child name:
Second child date of birth:
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Third child name:
Third child and date of birth:
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Do you have any concerns with your child?  If so, describe: *
What time of day would be best for a home visit? *
Do you and/or your child qualify for WIC and/or Medicaid? *
Are you a single parent? *
How did you hear about Joplin Parents as Teachers? *
Required
If you have a preschool aged or elementary school aged child(ren), which school do they attend? *
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