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2019 Parental Input: Educational Needs Form for Student Placement
This form will be utilized during the grouping process. Please remember that we cannot honor requests for specific teachers. Do not include a teacher's name (or refer to a specific teacher) with this input or the form will be returned to you. No emails/letters will be accepted. Please fill out this form by April 26, 2019.
Email address *
Parent name and contact information *
Your answer
Child's first and last name *
Your answer
Current teacher's name *
Your answer
Current grade: *
Your child's classroom teacher knows and understands the learning style and the needs of your child. Above and beyond what they observe in the classroom, are there additional social/emotional needs that our grouping team should be aware of? Please check the behaviors/needs that apply to your child:
Your child's classroom teacher knows and understands the learning style and the needs of your child. Above and beyond what they observe in the classroom, are there additional strengths that our grouping team should be aware of? Please check the strengths that apply to your child:
Is there anything about the child's home situation that we need to be aware of? Is there anything going on outside of school that could effect their academic success? Please check below as applicable.
Other considerations:
Max characters: 150
Your answer
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