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CTMS Class Placement Information 2016-2017
Our staff is making plans for class assignments for the 2016-2017 school year. If you wish to provide information for use in placing your child in a classroom next year, please complete this form. This form is optional and only necessary if you wish to provide input on the two items below. Please note that parents will have the opportunity to share more detailed information to their child’s teacher in September. We cannot accept requests for a particular teacher. Decisions are made on a year-to-year basis. If you prefer that your child not be placed with a specific student, please limit this request to no more than 3 students.

Please complete this form once for each child. The form must be completed and received by April 20, 2016.
Student's Last Name *
Your answer
Student's First Name *
Your answer
*
I prefer that my child is not in the same class with:
Child # 1 (last name, first name)
Your answer
I prefer that my child is not in the same class with:
Child # 2 (last name, first name)
Your answer
I prefer that my child is not in the same class with:
Child # 3 (last name, first name)
Your answer
I prefer that my child not be placed with the following teacher:
If you would prefer a younger sibling NOT have the same teacher as your older child(ren). Please do not request your child be placed with a specific teacher.
Your answer
Other pertinent information:
Your answer
Name of Person completing this form: *
Your answer
Relationship to Student of person completing this form:
Your answer
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