2022 - 2023 Cody Middle School Parent / Guardian Information Sheet
Parents/Guardians - Please only complete this form if you have specific academic, behavioral, and/or social/emotional concerns regarding your child for the 2022 - 2023 school year.
Please list the parent/guardian's first and last name. *
Please list the parent/guardian's email. *
Please list the parent/guardian's phone number. *
Please list your student's first name. *
Please list your student's last name. *
What grade will your student be entering this upcoming school year (2022 - 2023)? *
Please explain any specific academic concerns you have for your student. *
Are there any specific social/emotional or behavioral concerns you have for your student that you think will impact their education? *
Are there any extenuating circumstances that impact your student that you want the school to be aware of, other than academic, behavioral, and/or social/emotional? *
Please provide any additional information you feel would be valuable for the administration to know when making our student scheduling assignment decisions. *
This form must be submitted no later than May 20th, 2022.
If you have problems completing this form please contact Brenda Farmer (brendafarmer@park6.org), the CMS Student Services Administrative Assistant.
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