Mrs. Coxen's Talented and Gifted Student & Parent Information 2016-2017
*Information submitted is confidential and will only be shared within the TAG department.
*Please complete one form for each child!
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Student's Name - Last name, First name and any nickname *
Example:  Smith, Jinsin "Grace"
Student's Homeroom Teacher *
Parent Contact Information
Mother/Guardian 1 Name *
Father/Guardian 2 Name *
Home Phone *
Mother/Guardian 1 Cell Phone
Father/Guardian 2 Cell Phone
If we need to speak with you, who should we call first? *
E-mail Address 1 - Primary Contact *
Please note we use e-mail to communicate most!
Optional:  E-mail address 2
If you would like both parents on our e-mail list, please add a second contact here.
Student Details
Is there anything specific that we should know about your child's academic needs?
Does your child have any health concerns or conditions that we should be aware of to better serve your child?
Examples:  allergies, pre-existing health conditions, etc.
Is there anything specific that we should know about your child's emotional, social, or behavioral needs?
Example:  she has a daily behavior chart, etc.
Parental Involvement:  How may we count on you for support?
Do you or someone you know have a career, passion, or area of expertise that you would be willing to share with us?
We've had scientists, engineers, entrepreneurs, pilots, and politicians all grace our program, both in person and via Skype.  Will you be next?
Anything else you would like us to know?
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