HOMESCHOOL CONSULT INTAKE FORM | Raising Brain

top of page

Raising Brain, LLC Homeschool Co-op and Microschool in Northern Virginia Rappahannock, Culpeper, Fauquier, and Warren

Neuro-Affirming Microschool and Consulting Services

ABOUT
- ABOUT US
- OUR CAMPUS
MICROSCHOOL
CONSULTING
BLOG
- LEARNING GOALS BY GRADE
SHOP
REVIEWS
CALENDAR
CONTACT
More...

Use tab to navigate through the menu items.

Homeschool Consult Intake Form

Parent/Guardian First Name

Email

Parent/Guardian Last Name

Phone

Child’s Name(s):

Age(s)/Grade(s):

Learning style or preferences (if known):

Visual

Auditory

Kinesthetic

Reading/Writing

Other

Are there any special educational needs or challenges your child faces (e.g., learning disabilities, ADHD, sensory sensitivities, etc.)?

Have you already started homeschooling?

Yes

No

Planning to Start Soon

What curriculum or educational materials are you currently using (if applicable)?

What subjects or areas are you most interested in discussing during the consultation? (Please check all that apply)

Curriculum recommendations

Learning styles & techniques

Time management & organization

Legal requirements & record-keeping

Socialization opportunities

Extracurricular activities

Special needs or accommodations

Homeschooling schedule & routine

Other

What are your primary goals for homeschooling?

What challenges or concerns do you currently face regarding homeschooling?

What are you hoping to gain from this consultation?

Is there anything else you'd like me to know about your child or your homeschooling journey?

Please submit this form and proceed to schedule and make a payment to finalize your booking and we will be in touch via to confirm your booking date and time.

Raising Brain, LLC Homeschool Co-op and Microschool in Northern Virginia Rappahannock, Culpeper, Fauquier, and Warren

Member

At Raising Brain, we are committed to providing an inclusive learning environment that welcomes individuals of every ability, race, gender, and background. Discrimination of any kind is not tolerated within our school community. We embrace diversity and strive to create a safe and supportive space where all students can thrive academically, socially, and emotionally.

© 2024 by Design by

bottom of page