Weekly Home Visitors Schedule

Parent Educator: Week of:

Monday Tuesday Wednesd Thursday Friday

ay
8:00-9:00
8:30-9:30
9:00-
10:00
9:30- HIPPY
10:30
10:00- STAFF
11:00
10:30- MEETING
11:30
11:00-
12:00
11:30-
12:30
12:00-
1:00
12:30-
1:30
1:00-2:00
1:30-2:30
2:00-3:00
2:30-3:30
3:00-4:00
3:30-4:30
5:30-6:30
*This is to be turned in no later than Friday at the staff meeting.*

Family Name Children Address Phone Number

Approval by HIPPY Coordinator

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 Weekly Home Visitors Mileage

Date To From Mapquest

Mileage

Total Weekly Mileage ______________

X .45 per mile $______________

Approval by HIPPY Coordinator

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