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North Adams Public Schools - PreK Development History and Background Information
THIS IS FOR INCOMING PRE-K STUDENTS ONLY. If your child is not PreK age, please do not complete this form.
Please answer the following questions so that our PreK teachers can get to know your child.
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Email
*
Your email
Child's Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Has your child ever attended or received services from any of the following? (check all that apply)
*
Home Daycare
Center Based PreK Program (such as HeadStart, YMCA, Monument Square, Williamstown Community PreK, etc)
Parent/Child Community Programs or Home Visiting Programs
Early Intervention
None of the above
Required
Has your child ever been on a school bus or a van?
*
Yes
No
Required
Does your child have any speech difficulties, physical condition issues or disabilities? If yes, please explain below.
Your answer
Does your child take any medications on a regular basis? If yes, please explain below.
Your answer
Does your child have any allergies? If yes, please explain below.
Your answer
Please tell us your child's favorite foods, foods he/she refuses to eat, or any special food circumstances.
Your answer
Bathroom needs: Please check all that apply.
My child is able to communicate his/her bathroom needs clearly
My child is reluctant to use the bathroom
My child uses the bathroom, but sometimes has accidents
My child does not use the bathroom yet
Does your child become tired during the day or nap? If yes, please tell us what time of the day. (check all that apply)
*
Late mornings
Early Afternoons
Late afternoons
My child does not nap during the day
Required
How would you describe your child's personality?
*
Your answer
How would you describe your child's previous experiences(s) with other children?
*
Your answer
Is your child able to play alone? Check all that apply.
*
Yes
Yes, but prefers to play with others
Yes, but needs direction/ideas
No, not really
Required
Does your child have any fears? (the dark, animals, insects, loud noises, etc)
*
Your answer
How do you comfort your child?
*
Your answer
Is there any other pertinent information you would like us to know about your child?
Your answer
What do you hope your child will gain from the Pre-Kindergarten experience?
*
Your answer
Your name and relationship to this child?
*
Your answer
Best phone number to reach you during the day?
*
Your answer
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