Alternate Placement and Screening Request Information
Thank you so much for your interest in seeking alternate placement for your child. Before we initiate the screening process, we will need to know a little bit more about your child from both you and your child's preschool teacher.

Please forward the link below that says "Preschool Teacher Survey" to your preschool teacher and have them
complete the form.

Preschool Teacher Survey: https://goo.gl/forms/tjM5n46LoOogDn3F3

If your child is entering another grade (1st or 2nd), please send a copy of your child's most recent report card to kstrach@mpcsd.org in place of the Preschool Teacher Survey.

Next, please fill out the form below so we can find out some background information about your child.

Once the preschool survey (or recent report card) and the form below have been completed, beginning in January, we will contact you to schedule a time to bring your child in to be screened.

We aren't in the business of trying to push parents in a direction they don't want to go. We pride ourselves in partnership with parents. However, we have lots of experience under our belt and some good assessment tools. We trust that this process will help inform the proper placement for your child.

Thank you,
Katherine Strach
Data, Assessment & EL Services Coordinator
Menlo Park City School District
181 Encinal Avenue
Atherton, CA 94027
650.321.7140
Email address *
What is your home mailing address? *
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What is your assigned school? *
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Parent names: *
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What is you phone number? *
Your answer
What is the best way to contact you? *
What is your child's full name.
Your answer
What is your child's date of birth.
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What is your request for placement? *
Will you be requesting a specialty program? (Knowing this information before February 28 will allow your child's name to be entered into the lottery should demand exceed supply for any of our specialty programs.) *
Required
What language or languages does your child speak? If more than one language, what is their primary language? *
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You are welcome to submit any additional information you feel is appropriate for your kindergarten entry request.
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A copy of your responses will be emailed to the address you provided.
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