Parent Information Survey
Please answer the following questions and submit the form as soon as you can. I look forward to getting to know you and your student and encourage you to contact me anytime! Thank you...
Student Name: *
Your answer
Parent/Guardian Name(s) *
Your answer
Who does the student live with? *
Your answer
Home address: *
Your answer
Home phone: *
Your answer
Cell phone(s): *
Your answer
Email(s): *
Your answer
Do you have internet access at home? *
Your answer
Do you have a printer at home? *
Your answer
What is the best way to contact you? *
Is there anything about your student or circumstances that would allow me to teach them more effectively?
Your answer
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