Hartford Magnet Trinity College Academy Questionnaire
Your student has been accepted to Hartford Magnet Trinity College Academy for next year. Please take a moment to share your insight about his/ her academic and social progress.

Feel free to contact Malorie Wells, Literacy Instructional Coach at SENOM001@hartfordschools.org or Roxanne Jagielski, Math Instructional Coach at GOMER002@hartfordschools.org with any questions.

Thank you for sharing this important information.

Student Name *
Your answer
School *
Your answer
Teacher Name *
Your answer
MAP Test Highest Score Math
If student did not take MAP test Math ignore this box.
Your answer
MAP Test Highest Score Reading
If student did not take MAP test Reading ignore this box.
Your answer
MAP Test Highest Score Language Usage
If student did not take MAP test Language Usage ignore this box.
Your answer
1a. Areas of strength: Check all that apply *
Required
1b. Please take a minute to give addition details you feel are important to any of the skills you checked in 1a.
Your answer
2a. Areas for growth: Check all that apply *
Required
2b. Please take a minute to give addition details you feel are important to any of the areas of growth you checked in 2a.
Your answer
3. Does this student currently receive services in:
4a. Has the student received interventions in any of the following areas? Check all that apply
4b. Please take a minute to give addition details you feel are important to any of the interventions you checked in 4a.
Your answer
5. Is there any additional information about the student we should know?
Your answer
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