Family Profile Family Profile Tell us more about your family! This form is intended for curriculum design purposes only. This information will not leave Christian Cottage Schools. Date Date Format: MM slash DD slash YYYY Name(s)* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Cell PhoneWork PhoneEmail* Best time to call between 9am-5pmChurch HomeDenomination / AffiliationChurch offices / positionsRegular / favorite church activitiesFamily snapshotAccepted file types: jpg, gif, png, pdf, tif.Please upload a picture of your family into this space, especially if we have not/will not have the opportunity to meet face-to-face. Profile of the FamilyWe have designed this profile to accomplish one basic purpose, which is to better minister to your family's educational needs. We have asked for a great deal of personal information on parents as well as children, but give you our solemn promise that everything contained in this form is, and will remain, strictly confidential. Father Marital Status Mother Marital Status Non-enrolling family membersNameAgeRelation to student(s) Please list the names and ages of non-enrolling family members living at homeTeaching parent:Name First Last Education level:High SchoolAssociate DegreeBachelor's DegreeGraduate or Professional DegreeSome CollegeOtherPrefer Not to AnswerCollege majorPrevious OccupationCurrent OccupationHobbies / InterestsSpecial skills I could teach my childrenSpecial skills I could teach othersSpouseName First Last Education level:High SchoolAssociate DegreeBachelor's DegreeGraduate or Professional DegreeSome CollegeOtherPrefer Not to AnswerCollege majorPrevious OccupationCurrent OccupationHobbies / InterestsAre you planning on teaching any classes?YesNoWhich one(s)?SchedulingPlease diagram your intended teaching hours. Schedule a minimum of 20 hours per week of "school time." (If you wish, also show regularly scheduled non-school activities.) We know things will change, but this helps us help you with planning. (We will help you with subject planning, so we're most concerned with school hours.)School week*When will you do planning and grading? Plan at least 20 min. per child, per day. SundayMondayTuesdayWednesdayThursdayFridaySaturday Reasons for HomeschoolingPlease rate your personal priorities from 1-10 (1 being the lowest, 10 the highest)Individualized attention*12345678910Family unity*12345678910Protection from violence*12345678910Individualized curriculum*12345678910Spiritual input to my children*12345678910Faster progress*12345678910Hands-on learning*12345678910Christian curriculum*12345678910In-depth instruction*12345678910Holy Spirit's direction*12345678910OtherPast SchoolsPlease use this space to describe your relationship with your child(ren)'s past school(s). List good and bad experiences. Family Learning HistoryPlease describe each person's academic progress, any notable strengths or weaknesses. Include only the children who are not enrolling, each enrolled child will have his/her own individual profile. FatherMother(name)(name)Family TimeWhat have been your "best" times as a family?What have been your "worst" times as a family?Favorite family activitiesDo your children have regular chores?YesNoWhat intimidates you the most about home schooling?How do your children feel about being home schooled?What are you expecting us to do for you? Individual Child Profile Enrollment Form Learning Behavior Rating Scale