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Homeschool Family Registration

09/28/2011

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This registration form is used for our member directory. Only members can see the directory and is not accessible to the general public. 

The family description is a section that is used for homeschool families to find other families with similarities to their own. 

This might include special needs or interests. 

Please copy this information into your email, fill in your answers and email to Jamie Helbling at jamie_n_niel@hotmail.com


Family Registration 


Husband’s Name:

Wife’s Name:


Children Names, Gender and Ages

Phone Number: 

Email Address: 

City: 

Family Description:

Business or Services:

Name:

Phone Number:

Email Address:

Street Address:

Description:

What are your personal strengths that you feel would be a blessing to others within the group? (Ex: planning, communication, sports, friendship, helping new homeschoolers)

What are the things that your family would like to personally contribute to the group if any? (Ex: finances, food, games, specialized skills, your home)

Would you or anyone in your family be interested in filling some kind of leadership role? If so, what type? (Ex: emailing, call List, coordinating field trips, mentoring new homeschoolers, providing website information)

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Homeschool Family Survey

09/28/2011

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This survey helps the homeschool group identify the wants and needs of family participants. Please copy these questions into your email and answer the ones you can (leave blank if you can not) and email your responses to Jamie Helbling jamie_n_niel@hotmail.com. The individual answers are kept confidential but the complete tally of information is posted for the group. 


Family Survey 


 1.       What would you like from your homeschool group?
(please number in order)

___ Support  ___ Social Interaction   ___Field Trips  ___ Academic Events

2.       How often would you like to have an event your family can participate in?

___2x Weekly   ___1x Weekly   ___Biweekly    ___1x Monthly

3.       What are the best days for you to meet with your homeschool group?
(please number in order)

___Monday  ___Tuesday  ___Wednesday  ___Thursday  ___Friday  ___Saturday  ___Sunday

4.       What are the best times for you to meet with the homeschool group?

___10am-12pm  ___12pm-2pm  ___after 2pm

5.       What is the best way to communicate with you?

___Phone  ___Email  ___Website

6.       Would your husband like to have more interaction with other fathers within the group?

___Yes  ___No  ___Maybe it would depend on what was involved

7.       If you could change one thing about homeschool group today what would it be?

8.       If you could have homeschool group start one new thing what would that be?

9.       What are the top 3 field trips you would like to see us coordinate as a group?

                                I.            _______________________________________________________

                              II.            _______________________________________________________

                            III.            _______________________________________________________

10.   How important is the cost of an event to your family in making a decision to attend a field trip, plan an academic class, or where we go for play day?

(please scale 1-10 meaning 1 it doesn’t affect our decision at all and 10 meaning it is the sole determination for our attendance)

11.   How important is the driving distance to your family in making a decision to attend a homeschool group event?

(please scale 1-10 meaning 1 it doesn’t affect our decision at all and 10 meaning it is the sole determination for our attendance)

12.   Would you prefer the groups activities, communication, and roles to be…

___More Structured  ___Less Structured ___Stay the Same

13.   Please write a summary of what you feel your family wants and needs from a homeschool group?

14.   Is there something specific  you have a passion for that you would like to lead within the homeschool group? (if not, leave blank)

15.   If you have ever participated with another homeschool group, what was your favorite aspect of that group?

16.   What did you enjoy most about the homeschool group this last year?

17.   What was the best / worst activity this year and what would you like to see us repeat?

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