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Student Information Page
Everything shared in this form is entirely confidential. It will only be shared with those who have an educational need to know.
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Mrs. Justice
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Student Name
Your answer
Does your child go by a different name other than his/her first name?
Your answer
Birthday
MM
/
DD
/
YYYY
After School Transportation
Car Rider/Walker
After Care
Bus
Other:
Clear selection
Allergies, Health or Dietary Concerns (Please explain)
Your answer
Does your student have a device (tablet) issued from MSCS?
yes
no
Other:
Clear selection
What was your student's mode of learning in Kindergarten?
Virtual all year
In person all year
Homeschool
Virtual until March and in person for the rest of the year
Other:
Clear selection
Parent/Guardian Name
Your answer
Parent/Guardian Phone
Your answer
Parent Guardian Email
Your answer
Is this the preferred email for communication from the teacher?
yes
no
Clear selection
Parent Guardian Name
Your answer
Parent Guardian Phone
Your answer
Parent Guardian Email
Your answer
Is this the preferred email for communication from the teacher?
yes
no
Clear selection
What do you consider to be your student's greatest strengths?
Your answer
What do you consider to be your student's greatest area of need?
Your answer
What does your child enjoy outside of school?
Your answer
Has your child ever received any special services? Please explain.
Your answer
What is your current living situation? (Who lives in the home?)
Your answer
Does your family speak anything other than English?
Yes
No
Clear selection
If yes, what language?
Your answer
Does your family choose NOT to participate in any holidays or celebrations? Please explain.
Your answer
What is one thing you would ask of your child's teacher?
Your answer
Is there anything else you would like me to know?
Your answer
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