- Time Hour Minutes AM PM AM/PM Option
- Home Visit Information Present During Visit: Mother Present During Visit: Father Home Visit Completed: Yes Makeup Visit Needed: No Location of Visit: Home Location of Visit: Other
- How did the family continue practicing (learning) since the previous visit?
- Were any of the following completed SNIP Screener (ASQ’s) Family Partnership Agreement (FPA) Individual Learning Plan (ILP) Internal Referral Form Other: (HELP/PICCOLO)
- Next steps for Parents
- Next steps for Homebased Specialist
- Activity Name
- Observations Observed during Visit/ Activity
- Key messages shared/note on discussion with Parents
- Book Sharing
- Next steps comments reminders
- Follow-up needed (Labs, HgB,TB, Lead, H/V)
- Follow-up needed on concerns/referrals noted
- Should be Empty:
IMAGES
COMMENTS
Office of the State Superintendent of Education | 1050 First St. NE, Washington, DC 20002 | 202.727.6436 | osse.dc.gov version 02.15.2023 Page 1 of 2 Home Visitation Consent & Verification Form - 2023-24 School Year . Use this form to. consent to allowing a school official to verify District of Columbia residency by visiting your
Home Visitation Consent and Verification Form. Tuesday, February 13, 2024. Please view and complete the 2024-25 school year Home Visitation Consent & Verification Form. For more information or questions, please contact OSSE's Enrollment Audit Team at [email protected].
SY24-25 DCPS Enrollment Packet Cover Letter. SY24-25 DCPS Enrollment Form. SY24-25 OSSE DC Residency Verification Form. SY24-25 DCPS Technology Survey. SY24-25 DCPS Consent Forms (Media Consent and Release and Release of Military Recruiters) SY24-25 DCPS Notifications of Student and Parent/Guardian Rights.
Office of the State Superintendent of Education | 1050 First St. NE, Washington, DC 20002 | 202.727.6436 | osse.dc.gov version 01.24.2023 Page 1 of 2. DC Residency Verification Form - 2023-24 School Year . Use this form to. verify that you are a District resident and therefore you or your student is eligible to enroll in a DC public or public ...
Office of the State Superintendent of Education | 1050 First St. NE, Washington, DC 20002 | 202.727.6436 | osse.dc.gov version 02.16.22 Page 1 of 2 Home Visitation Consent & Verification Form - 2022-23 School Year Use this form to consent to allowing a school official to verify District of Columbia residency by visiting your residence. Complete one form per student enrolling in a DC public ...
osse.dc.gov . version 01.24.2023 . Page . 1 . of . 2 . DC Residency Verification Form - 2023-24 School Year . Use this form to . verify that you are a District resident and therefore you or your student is eligible to enroll in a DC public or public charter school. All forms and supporting residency documentation are submitted to the ...
Enrollment Forms 1. OSSE DC Residency Verification Forms (subject to change) 2. OSSE Sworn Statement (subject to change) ... Home visit Non-resident ... 1050 First St. NE, Washington, DC 20002 | 202.727.6436 | osse.dc.gov. version 02.16.22. Page . 1. of . 1. Sworn Statement -2022-23 School Year . This form is to be completed by the person ...
Office of the State Superintendent of Education | 1050 First St. NE, Washington, DC 20002 | 202.727.6436 | osse.dc.gov version 02.16.22 Page 1 of 2 DC Residency Verification Form - 2022-23 School Year Use this form to verify that you are a District resident and therefore you or your student is eligible to enroll in a DC public or public charter school. All forms and supporting residency ...
consented to a home visit. I certify, under the penalties of perjury, that I have personally reviewed all the documents presented and affirm that the information represented above is true to the best of my ... I also affirm that all supporting documentation to this form will be retained by the school and made available to OSSE, external ...
Office of the State Superintendent of Education | 1050 First St. NE, Washington, DC 20002 | 202.727.6436 | osse.dc.gov version 12.19.2023 Page 1 of 2 DC Residency Verification Form - 2024-25 School Year Use this form to verify that you are a District resident and therefore you or your student is eligible to enroll in a DC public or public charter school
After acceptance, the following forms are required for enrollment for the 2023-2024 school year: 1. SY 23-24 Capital Village Seat Acceptance Form 2. Capital Village School Enrollment Form 3. OSSE Home Language Survey 4. DC Residency Verification Form 5. Household Application for Free and Reduced-Price School Meals 6. DOH Oral Health Assessment ...
You can notify OSSE through our tip line at (202) 719-6500 or by completing the online tip form. For more information or questions about the Office of Enrollment & Residency, please contact us at [email protected]. Enrollment Season: Supporting LEAs & Schools. Follow Us on X. The Office of Enrollment and Residency (OER) has everything you would ...
Please return form via fax or mail as soon as possible to the attention of the Registrar. 1050 First St. NE, Washington, DC 20002 • Phone: (202) 727-6436 TTY: 711 • osse.dc.gov.
HOME VISITATION RESIDENCY VERIFICATION FORM Name of Student: Name LEA/School Name: ... above. I attest that the information herein provided is true to the best of my knowledge based on the home visit I have conducted, and that I have confirmed the residency of the student by conducting a home visit. ... 2/24/2016 12:05:19 PM ...
The Office of the State Superintendent of Education (OSSE) is excited to launch its redesigned Statewide Longitudinal Education Data (SLED) website. This site is intended to enable the sharing of critical information spanning a student's public education experience in the District of Columbia; from early childhood through K12, postsecondary, and into adult education and employment.
Oral Health Assessment FormFor all students aged 3 years and older, use this form to report their oral health status to their. care facility.Instructions . Complete Part 1 below. Take this form to the. udent's dental provider. The dental provider. should complete Part 2.• Return fully completed and signed form to the student's s.
OSSE will be sent within 24-48 hours, verifying the completion of the second step of this two-part verification process. A separate email is sent to confirm either a successful or unsuccessful validation for each student entered in the "Student Information" section. Successful: Both the Office of Tax and Revenue and OSSE were able to
List of Required Student Enrollment Forms . SY 23-24 ... 2023-24 School Year (OSSE Form) • Home Visitation Consent & Verification Forms - 2023-24 School Year (OSSE Form) ... SCHOOL OFFICIAL USE ONLY The following information was verified by conducting an in-person home visit by a school official. Step 1 Date of in-person home visit (mm/dd ...
Home visit form 23. Home visit form 23. Failed to load PDF file. Start Filling ...
Completed forms should be faxed to the Compliance and Integrity Division (CID) at 202 -727-7295. Unusual incidents can also be reported via the dedicated hotline at 202-727-2993 or emailed to [email protected]. Definition: An "Unusual Incident" is any event that is not ordinary to the regular or established procedure that may ...
REGISTRATION RECORD FOR CHILD RECEIVING CARE AWAY FROM HOME . Child: Sex: Male Female . Last First M.I. Date of Birth: Home #: Language Spoken At Home Home Address: Number Street Apt. # State ZIP ... 1050 1st Street NE, 6th Floor, Washington, DC 20002 • Phone: (202) 727-1839 TTY: 711 • osse.dc.gov (Rev. 07-2018) DISTRICT OF COLUMBIA OF ...
DC Health | 899 North Capitol Street, N.E., Washington, DC 20002 | 202.442.5925 | dchealth.dc.gov version 04.14.22 pg1 Universal Health Certificate Use this form to report your child's physical health to their school/child care facility.This is required by DC Official Code §38-602. Have a licensed medical professional complete part 2 - 4.
Office of the State Superintendent of Education | 1050 First St. NE, Washington, DC 20002 | 202.727.6436 | osse.dc.gov version 12.19.2023 Page 1 of 2 DC Residency Verification Form - 2024-25 School Year Use this form to verify that you are a District resident and therefore you or your student is eligible to enroll in a DC public or public charter school. All forms and supporting residency ...