Parent Teacher Home Visit Tracker
In order to be paid for each home visit you have conducted, you need to fill out this form AND attend a debrief (sign up for debriefs on PowerSchool). You will need to fill out one form for each visit. Please note that fall visits must be entered by November 30 at 5pm and spring visits must be entered by May 30 at 5pm. If you have approval to do the asynchronous debrief your answers are also due on the same dates and times.

Important Information About Stipends
From the contract: Educational Assistants who participate in the Home Visit Project shall be paid an additional $50 stipend for each home visit conducted by the educational assistant.
-This program is designed different and separate from EA jobs that include home visits as part of their regularly assigned duties.
-In addition, no one educational assistant supporting grades Prek-5 can earn in excess of $1,500 during each school year. No one EA supporting grades 6-12 can earn in excess of $2,000 during each school year.
-EAs who are interpreting for home visits can earn up to $3,000 during each school year.

From the contract: School and Community Service Professionals who participate in the Home Visit Project shall be paid an additional $50 stipend for each home visit conducted by the school and community service professional.
-In addition, no one SCSP employee can earn in excess of $1,750 during each school year.

From the contract: Licensed Staff who participate in Parent/Teacher Home Visits shall be paid an additional $50 stipend for each home visit conducted by the teacher.
-In addition, no one teacher in grades pre k- 4 can earn in excess of $2,500 during each school year. No one teacher in grades 5-12 can earn in excess of $3,000 during each school year.
Email *
SPPS ID *
Last Name *
First Name *
Your School/Site *
SPPS Role of Main Visitor  *
Grade Level  of Student (Only EAs and Teachers) *Choose only one grade level*
Student's Name (First Name Last Initial Ex: Amanda P.) *
Race of Student *
Required
Date of Visit *
MM
/
DD
/
YYYY
How was this visit conducted? *
Required
Name of My Partner *
Was this visit conducted OUTSIDE of my contract hours? *
A copy of your responses will be emailed to .
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