(KINDERGARTEN ONLY) 2019-2020 PLACEMENT INPUT FORM

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Dear Future Fairview Kindergarten Parents,

We are so excited you are joining the Fairview Elementary Family! In preparation of your child's 2019-2020 Kindergarten year, we need to collect information about your child so we can best meet his/her needs. If you wish to provide input on important information relevant to your child's Kindergarten placement, we have provided this electronic Parent Input Form.

Please note the following:

1) We put a lot of effort into the placement process and hand place each child.

2) Please do not use this process to request a specific teacher, as requests will not be honored.

3) Please understand that due to the complexities of placing over 650 students, YOUR INPUT WILL BE CONSIDERED, BUT WE CANNOT GUARANTEE THAT ALL WISHES/REQUESTS WILL BE FILLED. We MUST consider the best classroom compositions that will best meet the educational goals of the entire group, above any individual requests.

4) Input will only be considered if it is made on this form. If you have already submitted information on the original input form, you do not need complete this Kindergarten form.

5) If you have more than one child entering Kindergarten, please complete a separate form for each child. Input for students in grades 1-3 should be submitted on a different form, as this is specific to Kindergarten students.

6) Input must be submitted no later than June 1st. Any input received after June 1st will not be considered.

Thank you for your time and continued support,

Sincerely,
Dr. Ben Horn

Email *

Student Name (First) *

Student Name (Last) *

Does your child have any sisters or brothers? *

YES

If yes, what are their names and ages?

Did your child attend a pre-school program *

YES

If yes, where did he/she attend pre-school?

Please list any behavioral or learning needs your child has? (If none, please state "None") *

Has your child received any additional services (Head Start, Speech/Language, Outside Assessments/Evaluations, Counseling, On-going Medical treatments, etc.) (If none, please state "None") *

Please explain any significant events that might affect your child (ex. Divorce, Separation, Re-Marriage, Death, Recent Move, Illness, etc.) (If none, please state "None") *

Please list your child's special interests. *

Describe your child's feelings about starting Kindergarten. *

Is there any additional information you feel is important for us to know that might help the Kindergarten teacher with your child's transition to Fairview Elementary School?

A copy of your responses will be emailed to the address you provided.

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