GENERAL PARENTING Evaluation How was / were the Applicant(s) disciplined as a child and how does that impact the way he / she / they discipline(s) his / her / their children and / or will discipline any future children? What kind of discipline does / do the Applicant(s) intend to use? Does / Do the Applicant(s) have good knowledge of appropriate and effective forms of discipline? Parental Style: SPECIALIZED PARENTING Family Preparation and Training Activities Evaluation ADOPTION / FOSTER CARE ISSUES Maintaining Connections with Birth Families Evaluation PSYCHOSOCIAL EVALUATION CONCLUSIONS PLACEMENT CONSIDERATIONS Future Placement Considerations Child Specific Placement Considerations RECOMMENDATION It is recommended that and be for . Based on my review of this home study report and the recommendation cited above, the Applicant(s) is / are for . Home Study Practitioner Supervisor I certify that I am authorized by the laws of the state of Wisconsin This home study was prepared in accordance with the to prepare home studies by virtue of my status or employment with requirements that apply to foster care and adoption in the state of Wisconsin. I this home study and certify that this is a true and I affirm that the factual statements in the home study are true and accurate copy. correct to the best of my knowledge and the home study recommendation was arrived at with professional due diligence and judgment. SIGNATURE Home Study Practitioner Date Signed SIGNATURE Supervisor Date Signed – – Name Home Study Practitioner Name Supervisor – – Title Title RECEIPT OF COPY OF HOME STUDY REPORT By signing below I acknowledge receiving a copy of this report and affirm that the factual statements in this home study are true and correct
GENERAL PARENTING Evaluation How was / were the Applicant(s) disciplined as a child and how does that impact the way he / she / they discipline(s) his / her / their children and / or will discipline any future children? What kind of discipline does / do the Applicant(s) intend to use? Does / Do the Applicant(s) have good knowledge of appropriate and effective forms of discipline? Parental Style: SPECIALIZED PARENTING Family Preparation and Training Activities Evaluation ADOPTION / FOSTER CARE ISSUES Maintaining Connections with Birth Families Evaluation PSYCHOSOCIAL EVALUATION CONCLUSIONS PLACEMENT CONSIDERATIONS Future Placement Considerations Child Specific Placement Considerations RECOMMENDATION It is recommended that and be for . Based on my review of this home study report and the recommendation cited above, the Applicant(s) is / are for . Home Study Practitioner Supervisor I certify that I am authorized by the laws of the state of Wisconsin to prepare home studies by virtue of my status or employment with I affirm that the factual statements in the home study are true and correct to the best of my knowledge and the home study recommendation was arrived at with professional due diligence and judgment. This home study was prepared in accordance with the requirements that apply to foster care and adoption in the state of Wisconsin. I this home study and certify that this is a true and accurate copy. SIGNATURE – Home Study Practitioner Date Signed SIGNATURE – Supervisor Date Signed Name – Home Study Practitioner Name – Supervisor Title Title RECEIPT OF COPY OF HOME STUDY REPORT By signing below I acknowledge receiving a copy of this report and affirm that the factual statements in this home study are true and correct
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