Maryvale Family Survey
A collaborative relationship between the school and the home will allow us to work together to best
meet your child’s needs.  One of our goals is to provide a welcoming and affirming environment.   We're looking forward to teaming up with you this year to motivate, encourage and guide your learner toward academic and social success. Please fill out this information sheet honestly and with as much detail as possible to help us get to know your child.  
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Child's First Name *
Child's Last Name *
Grade *
Teacher Name *
1. Which language or languages are spoken in your home? *
2. Does your family have any special traditions or celebrations that occur in the household? (Please describe.) *
3. Describe your family culture, beliefs and background. *
4. Is there anything about the child’s daily home life that you feel would be helpful for me to know? *
5. What topics interest your child?  *
6. Is your child involved in any activities or sports outside of school? (Please describe.) *
7. What are some goals you have for your child this year? *
8. Is your child a leader? *
9. Does your child have at least one friend they can connect with at school? *
10. Does your child fit in at school? *
Optional: Is there anything else you would like me to know about your child?
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