SST Advancement Home Visit Request Form
Dear Parents/Guardians,

We would like to make a home visit. The benefits of school home visit program:
Strengthening parent teacher relationships.
Increasing overall student achievement.
Decreasing student behavioral problem.
Increasing student attendance and homework return rate.
Feeling of trust , mutual respect, empowerment, and accountability by parents, students and staff.

Parent Name *
Your answer
Parent Email *
Your answer
Phone Number *
Your answer
Address *
Your answer
Child Name *
Your answer
Child Grade *
Siblings if there is any
Your answer
Sibling's grades
Your answer
Other Siblings' names and grades if there is any
Your answer
Do you approve media release for you and your child(ren) including school web page, social media? *
Home visit Day *
Required
Time *
Time
:
Note
Your answer
Submit
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