Pine River Elementary Classroom Placement Consideration Form

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Dear Parents/Guardians,
:
As our school staff plans for our fall student placement, we carefully consider each child’s unique
educational needs. Parents may have thoughts on how those needs may be met for classroom
placement. This form may be used to provide input to the building decision-making process.
All information for placement consideration must be specific, completed in full, and received on or before Tuesday, April 30, 2024.

A request for a specific teacher or forms received after Sunday, April 30th, will not be considered.

Email *

Student's Last Name *

Student's First Name *

Child's Current Grade *

Young Fives

Kindergarten

First

Second

Third

Describe your child as a learner. *

Provide a written description of the unique educational needs and/or characteristics for your child. *

List other pertinent information you would like the school to consider in placing your child. *

Parent/Guardian Name *

Phone Number *

Submit

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