Parent/Teacher Home Visits Participation Form
This form must be filled out for every visit. This is the form used to track visits for payment of stipends
Your Employee ID Number
Schools are listed in alphabetical order by type of school
Adams Spanish Immersion School
American Indian Magnet School
Barack & Michelle Obama Elementary
Battle Creek Elementary School
Benjamin E. Mays International Magnet School
Bruce Vento Elementary School
Capitol Hill Gifted and Talented Magnet
Chelsea Heights Elementary School
Cherokee Heights Elementary School
Como Park Elementary School
Dayton's Bluff Achievement Plus Elementary
Eastern Heights Elementary School
EXPO for Excellence Elementary
Four Seasons A+ Elementary School
Frost Lake Elementary
Galtier Community School
Groveland Park Elementary School
Hamline Elementary School
Jie Ming Mandarin Immersion Academy
Hazel Park Preparatory Academy
Heights Community School
Highland Park Elementary School
Highwood Hills Elementary School
Horace Mann School
J. J. Hill Montessori Magnet School
John A. Johnson Achievement Plus Elementary
L’Etoile du Nord
Linwood Monroe Arts Plus
Maxfield Elementary School
Mississippi Creative Arts School
Nokomis Montessori Magnet School
Paul & Sheila Wellstone Elementary
Phalen Lake Hmong Studies Magnet
Randolph Heights Elementary School
Riverview West Side School of Excellence
Saint Paul Music Academy
St. Anthony Park Elementary School
Battle Creek Middle School
Creative Arts Secondary School
Highland Park Middle School
Humboldt Secondary School
Murray Middle School
Open World Learning
Parkway Middle School
Ramsey Middle School
Washington Technology Magnet School
Central High School
Como Park Senior High School
Harding Senior High School
Highland Park Senior High School
Humboldt Secondary School
Johnson Senior High School
Evening High School
Gordon Parks High School
LEAP High School
Anna Westin/The Emily Program
School and Community Support Professional
You role during the visit
There should be two visitors on each visit. One should be the "main" visitor, the other is the "second" on the visit.
I was the main visitor
I was the "second" visitor
Who was your partner on this visit?
Did you attend the required parent teacher home visit training session?
First and last name of student visited
Date of visit
Which Debrief Session do you plan to attend?
Remember: for the semester you are visiting, you MUST attend a debrief session to receive your stipend. Register on PDexpress
Wednesday November 7th
Wednesday December 5th
Wednesday December 12th
Parent's Hopes and Dreams
What were the parents' hopes and dreams for their child?
What did I learn?
What did you learn about the student or their interests that will help you in teaching him or her?
Any comments about this visit?
Visits that occur during your contracted work day are not compensated. If visit occurred during your contracted work day, check the box below.
The visit occurred during my work day.
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