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Charlotte Central School
Family and caregiver input about their student is one source of information we use during our placement process. Your response can help us plan for a positive learning experience for your child. The thoughts you provide will be shared with the placement team and your student's new teacher. Please know that we do
not honor requests for specific peers or a teacher
. Our primary goal is to create balanced classroom groups full of rich social and academic opportunities.
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* Indicates required question
Email
*
Your email
Parent Input for Placement
This completed form is due by April 17th, 2023 so placement teams have your feedback during this process.
Your email address
*
Your answer
Student's Name
*
Your answer
Current Grade
*
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Current Teacher
*
Your answer
Parent/Guardian/Caregiver Contact Phone #
*
Your answer
Relationship to Student
*
Your answer
Please list siblings at CCS (if none please write n/a)
*
Your answer
My student feels successful in school when … (consider learning style, interests, social development, etc.)
*
Your answer
What are your goals for your student's 2023-2024 academic year?
*
Your answer
What are the challenges your child faces academically and/or socially?
*
Your answer
What are your student’s strengths both academically and/or socially?
*
Your answer
Is there anything else you would like the placement team to know about your student?
Your answer
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