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Family Survey - English II
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Parent/Guardian Name
*
Your answer
Relationship to Student
*
Your answer
Parent/Guardian Contact Info
What is the best way for me to contact you?
*
Phone Call
Email
Other:
Best Phone #
Your answer
Email
Your answer
OPTIONAL: Are there other people with whom I should share information about your student? If so please share their info below.
Optional Other Contact Person - Name & Relationship to Student
Your answer
Other Contact Person - Preferred Phone # and/or Email
Your answer
You know your student best. Thank you so much for taking the time to provide me with this information. I look forward to working with you this year!
What are your student’s strengths? Include as many as you can think of—academic, social, athletic, artistic, musical, etc.
*
Your answer
What can you tell me about how your student learns best? What kinds of learning environments have helped him/her to learn in the past?
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Your answer
What can you tell me about things that get in the way of your student’s learning? What kinds of learning environments or situations have made it more difficult for him/her to learn?
*
Your answer
Is there anything else you want me to know about your student? This might include, but is not limited to, medical or emotional conditions, situations at home, past experiences, etc.
*
Your answer
Please indicate that you have read through the course description and expectations with your student.
*
Yes! I have already reviewed that document.
Not yet, but I will go and do so right now!
Thank you! Please feel free to contact me at any time with questions or concerns:
david.kayler@bcsemail.org
.
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