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.
Parent name and contact information
Child's first and last name
Current teacher's name
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:
Lacks self confidence/esteem
Needs constant reminders
Hard time making/keeping friends
Lacks self control (verbal and/or physical)
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:
Makes good choices
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.
Change (s) in family
Max characters: 250
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