Parent Information Sheet

Student Name:

________________________________________________________________________

Student Email:

________________________________________________________________________

Parent Name(s):

________________________________________________________________________

Parent Email(s):

________________________________________________________________________

Parent Phone Number(s):

________________________________________________________________________

Directions: With your student in mind, please circle the appropriate answer for each statement:

1) Reads books for independent leisure:

Always Sometimes Never

2) Has had success with writing in the past two years:

Always Sometimes Never

3) Highly organized:

Always Sometimes Never

4) Has an established study environment where he or she can work and the environment never changes location.

Always Sometimes Never

Please share any information you may want me to know about your student. You may have general information, or you may want to inform me of a specific weakness or strength. You may also wish to inform me of the academic goals of your student.

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