Official Legal Form
Parent Education Self Evaluation
Published by Virginia Courts — Forms. Mirrored here in its unmodified, original form for free public access.
Virginia
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Jun 2026
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VA
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Form text
Extracted from the official PDF
Parent Education Program Self Evaluation
Developed from recommendations of the Model Parent Education Curriculum Committee
as presented in House Document 26 (2000)
Organization name _______________________________ Date: ____________
Address ____________________________________________________________________
City ___________________ State ________ Zip ____________
Phone (_____)_________________
Contact person ________________________________
E-mail _____________________________ Web site _________________________________
Name of program ______________________________________________________________
FACILITIES
accessible through public transportation
ample off street parking
handicap access
child care available on site
on duty security
other sites where your program is conducted:
STAFF
pre-class intake to determine special needs
one person co-trainers total number of trainers _____
Trainer qualifications: undergraduate degree: ______________________________________
post grad. degree no education requirement equivalent life experience
PROGRAM DETAILS
Type national program curriculum developed by our agency combination
Localities Served ______________________________________________________________
Cost under $35 per person $35-$50 sliding scale scholarships available
Class size limited to 10 limited to 20 limited to 30 no limit
Sessions one session multiple sessions option:______________________________
weekdays week nights weekends weekly monthly other ______________
less than 2 hours 2- 4 hours 5 - 6 hours more than 6 hours
Presentation lecture discussion video role-play written hand outs
visual and auditory teaching tools Manual: included additional charge
other _______________________________________
Special needs foreign language interpreters sign language interpreters
PROGRAM CONTENT
[Check all which are included in your program]
DISPUTE RESOLUTION ALTERNATIVES
Understanding the effect of parental conflict on their children
How to reduce parental conflict
What triggers anger or conflict
Techniques in problem solving and negotiation
SKILLS
Increase parents’ communication skills
Parenting skills and co-parenting techniques to increase the effectiveness of parenting from
two homes
Skills to identify and meet developmental needs of their children
Skills on how to keep children out of the middle
EMOTIONAL AND FINANCIAL SUPPORT
Emotional, cognitive and behavioral components of parental separation
Information that will help parents recognize when a child is experiencing emotional problems
Increase parents’ understanding of the importance of providing emotional and financial
support to children.
PSYCHOLOGICAL IDENTITY AND RELATIONSHIPS
Increase parents’ understanding of why children need and want a healthy, meaningful
relationship with both of their parents and offer ideas on how to successfully share in the
parenting of their children
Increase awareness of parental roles and their impact on child development
Encouragement of positive involvement of both parents in the lives of their children
Development of a personal action plan related to their co-parenting.
How parents recognize the signs of children at risk
Enhance the safety, stability, consistency, and security of the child’s environment
EXTENDED FAMILY AND COMMUNITY
Data on what is normal in their past, present, and future situation including changes in family
structure such as remarriage, blended families, step and half siblings
Validation of the many things parents have already done or are doing that support children
during the divorce / separation process
Make parents aware where to seek professional help, support, and where they can access
community resources available to them
LEGAL INFORMATION
Mediation alternatives
When and what court may have jurisdiction
Grounds for divorce
Types of divorce
Equitable distribution of marital property
Paternity establishment
Options for parenting arrangements
Persons with a legitimate interest
Factors a judge must consider in awarding custody or visitation
When and by whom child support may be awarded
How child support is calculated
Factors to rebut the presumption of child support calculated
Requirements for notification of relocation
Rights of access to child's records
Tax consequences
Enforcement of a court order
Penalties for violation of a court order
Social services available
COMPLETION AND FOLLOW UP
Does your program conduct an exit survey? Yes No
Do you award certificates of completion? Yes No
Do you conduct post follow up calls or surveys? Yes No
If so, when? ______________________
Other related programs offered by this organization:
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