Head Start/early Head Start Early Head Start Transition Survey Form

ADVERTISEMENT

College of Southern Idaho
Head Start/Early Head Start
Early Head Start Transition Survey
Child’s Name: _____________________________________
Birth Date: _____________________
Parent Name(s):_____________________________________________________________________
Family Educator: _____________________________
Initial EHS enrollment date: ______________
Your child is/will be turning three within the next six months. As part of program services, we will be
planning your child’s transition together with you. Please complete the following survey to assist us.
We understand that your transition decisions might change during the next few months.
______I/we may prefer no services after my child’s Early Head Start experience. Please check with me
again on ___________________________________ (date).
______I/we would like _______________________ to transition into:
______ CSI Head Start program option
______ Child Care/Preschool Setting
______ Other community services
Indicating a preference for transitioning to Head Start does not guarantee that your child will
rd
immediately start in a HS classroom after their 3
birthday. Placement in the HS class can be
dependent on several factors, for example, availability of an opening in the center, possibly your
ability to transport your child to the center, and/or the time of year when your child turns three. If
your 3 yr. old child is unable to get into HS during the current HS school year, s/he will be placed on
the enrollment list for September of the coming school year, if that is still your first choice.
If you choose to get on a waiting list for the CSI HS program option, you can expect the opportunity to
visit the classroom (during class time, after class time, with or without your child). Other pre-transition
activities might include opportunities to meet the bus driver and see the bus; participate in home visits
together with your Family Educator and the receiving staff person.
Do you have questions or concerns about your child’s transition? Please list anything we can help you
with; i.e. finding child care, sharing information about your child with the new staff member or
community child care provider, meeting your child’s needs in the new setting, etc.
Follow up needed?
No
Yes
For______________________________ ___________________
Completed by: _________________________________________________________________________
Parent/s Signature______________________________________________________Date: ___________
G: /Forms/EHS/Transitions/Transition Survey

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Life
Go