JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Bowman's Intake - Parent Questionnaire
Please complete the following so that we may be able to better assist your child in meeting their high school goals.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student's Name
*
Your answer
Parent's Name
*
Your answer
Parent's cell phone number
*
Your answer
Parent's Email address
Your answer
How would you prefer to receive school notifications?
*
Telephone call
Email
Text messages
Required
Does your student have access to any of the following at home?
*
Desktop/ Laptop Computer
Tablet
None
Other:
Required
What special strengths, interests and preferences does your son/daughter have?
*
Your answer
What are some things your son/daughter needs to work on?
*
Your answer
Which of the following services might your son/daughter benefit from accessing at school?/
*
Academic interventions
School supplies
Transportation *limited bus passes available*
Support for issues with drug or alcohol
Personal counseling
Other:
Required
We would like to offer your student the appropriate emotional and academic support. Please check all that apply.
*
My student is currently in the foster care system.
My student has been assigned a probation officer.
I, the parent/guardian is currently an active member of the military.
More than one family lives in our household due to financial struggles.
I, parent/guardian, am currently unemployed due to medical reasons.
None apply to me.
Required
Do you have any special concerns about your son/daughter that you would like to share?
Your answer
Please check activities you would be interested in helping with:
Parent Site Council (meets 3 times a year in the evenings)
District Advisory Council (DAC, meets monthly at 6 pm)
Fundraising Opportunities
School Volunteers & Donations
Student and/or Office Supply Donations
Parent Communication Council (PAC, meets montly at 9 am)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of William S. Hart Union HSD.
Report Abuse
Forms
