Boulder Waldorf Kindergarten and Preschool: Child Care Provider Questionnaire
Thank you for your support of our admissions process. This questionnaire helps us to get a picture of who the child is and how s/he might best fit into our program.

This form is to be completed by the child’s current/former teacher or child care provider. Please know that the information provided will be kept confidential.
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Email *
Child’s Name *
Current/Previous Teacher's Name *
Position *
Name of Program/School *
Size of Group *
Dates child attended program *
Please describe the child. What type of things motivate and inspire him/her? Does s/he have any triggers? *
How are his/her social interactions with other children and teachers? *
What is the most positive aspect of working with this child? What is the biggest challenge? *
Please describe your experience in working with the family. *
Feel free to add any other information you believe would be helpful for us to know.
A copy of your responses will be emailed to the address you provided.
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