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RAISING BRAIN
Supporting Minds, Celebrating Diversity
Located in Northern Virginia
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MEET ASHLEY
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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):
*
Required
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?
*
Required
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)
*
Required
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?
I offer in-person consults on Mondays and Fridays between 9am and 6pm. Please pick your two date/time preferences below and I will do my best to get you scheduled for your first pick. ​ For Virtual appointments, I am available after 3:45pm on week days.
If you haven’t heard from me within 24 hours, kindly check your spam folder as sometimes my emails may end up there due to settings. Please check this box to acknowledge.
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