West Mifflin Area School District Fourth Grade Placement Form 2021-2022 School Year

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This form provides an opportunity for parents/guardians to share information that will help in the providing the best placement decisions for students. The information that is shared will be used to help make team and teacher placement selections. No request for specific teams/teachers will be accepted. No request for specific peers or friends will be accepted. Forms must be submitted by June 3,2021.

Email address

West Mifflin Student ID Number

Student Last Name

Current West Mifflin Elementary School

Tell me about your child's 2020-2021 Learning Environment

Participated in On Campus Instruction for the entire year

Participated in Remote Learning Instruction for the entire year

Participated in Remote Learning and on campus learning

Clear selection

Please check the items below that you believe best represent your child academically and behaviorally.

Follows instructions easily

Is organized

has difficulty following instructions

works through complex tasks and multiple steps independently

Misplaces/loses materials

Needs prompting to begin or complete a task.

Other:

Describe your child's homework habits

Self-motivated student- reads and practices without parent prompting

Needs parent prompting to begin homework

Completes and turns in homework on time regularly

Completes homework but forgets to turn it in

Doesn't complete homework

Struggles to understand assignments

Other:

Describe your child's friendships.

Makes a variety of friends easily

Close with only one or two other children

Needs help connecting with peers

Please provide any additional information to assist with your child's transition to the Middle School.

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