Kindergarten Parent Survey - Black Rock Elementary - Please submit as soon as possible - thank you!
Dear Kindergarten Parents:
Each year we ask parents to give us some information about their child. We appreciate the time you take to share with us. In addition, we will be scheduling a time for your child to complete some brief assessments before school starts. Please indicate your preference for a time and we will do our very best to meet your needs. We will send you an email with your scheduled time prior to June 8th.

ASSESSMENT DATES: Tuesday, August 14 and Wednesday, August 15
KINDERGARTEN CLASS LISTS POSTED: After 5:00pm on Wednesday, August 15
KINDERGARTEN SCHOOL SUPPLY DROP OFF/MEET YOUR TEACHER: Thursday, August 16, 5:30pm-7:00pm
FIRST DAY OF KINDERGARTEN: Friday, August 17

Email address *
1). Student First Name *
Your answer
2). Student Last Name *
Your answer
3). Student Preferred Name (if different)
Your answer
4). Parent/Guardian First & Last Name *
Your answer
5). Parent/Guardian Phone Number (Best Contact) *
Your answer
6). Parent/Guardian Email Address (Best Contact) *
Your answer
7). Has your child had any preschool experience? *
8). If you answered yes to question #7, please detail how much time was spent in preschool, and where they attended.
Your answer
9.) Has your child ever been assessed by Child Find? *
10.) If you answered yes to question 9, did your child receive service? In what area (speech, OT, etc.) and where?
Your answer
11). My child can count unassisted by ones to...: *
12). My child can identify and name numbers unassisted up to: *
13). My child can read and write his/her own name unassisted. *
14). My child can identify the following number of letters of the alphabet unassisted. *
15). Tell us about your child's interactions with other children of similar age. *
Your answer
16). Please share any special considerations such as allergies, any medical needs, second language, emotional needs, etc. *
Your answer
17). Is there anything you have noticed about the way your child learns that would be helpful for us to know? *
Your answer
18) Please add any notes that you would like to share with our principal, Mrs. O'Donnell.
Your answer
19). Preference #1 for Assessment Date and Time *
Required
20). Preference #2 for Assessment Date and Time *
Required
21). Preference #3 for Assessment Date and Time *
Required
22). Preference #4 for Assessment Date and Time *
Required
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