DK/K Round Up Student Placement Parent Questionnaire
Please take some time to complete the DK/K Round Up Student Placement Parent Questionnaire by Friday, May 15th.
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Student's Last Name *
Student's First Name *
Parent Name *
Parent phone number and email address *
Did your child attend preschool? *
If you answered yes, please state which preschool your child attended.
I believe my child is ready for: *
I believe my child will be able to do a virtual screening with an Oakwood teacher. *
Please explain your child's strengths. *
Please explain your child's needs. Please include any health and learning related needs.   *
Please describe the ways in which your child learns new information best. *
Please describe the characteristics of an instructor and the learning environment that you believe would be a good match for your child. *
What educational goals do you have for your child? *
Please list any other factors or considerations.
Please indicate each item that would best describe your child. *
Required
Is helpful, sensitive, and expressive.  Is creative and artistic.  Likes hearing about and expressing feelings.  S/he feels intensely and tends to over personalize.  Personal meaning is extremely important *
best describes your child's learnng style
least describes your child’s learning style
Is organized, accurate, and detailed.  Is systematic and likes structure.  Is logical and time-conscious.  Tends to be overly critical.  Worries about being perfect.  Really loves to figure things out. *
best describes your child's learnng style
least describes your child’s learning style
Is an initiator, gets things going.  Is practical and productive.  Organizes learning around activities.  Is impatient and tends to interrupt.  Has an energetic nature.  Loves to keep active. *
best describes your child's learnng style
least describes your child’s learning style
S/he brings different points of view together.  Is interesting and inventive.  Looks for underlying principles.  What “might be” is more important than “what is.” Loves the big picture. *
best describes your child's learnng style
least describes your child’s learning style
If you are familiar with certain teachers that would match your child’s learning style, please list three teachers.  
If you are listing specific teachers, please explain why below.  Please note that we can not guarantee placement in one of these three rooms.  We will work to create balanced classrooms that will meet all students’ needs.
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