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Getting to Know Your Child
Please fill out the following information to help me get to know and understand your child.
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* Indicates required question
Student's First and Last Name
*
Your answer
Parent/Guardian First and Last Name
*
Your answer
Who does your child live with? (Optional)
Mother and Father
Mother only
Father only
Other:
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Preferred Email
*
Your answer
Other Email (Optional) Only if you choose to get communications to multiple emails.
Your answer
Do you have internet access at home?
*
Yes
No
Did your child utilize Zoom for remote learning in third grade?
*
Yes
No
Do you currently have concerns about your internet connection and remote learning (such as multiple people needing to use the internet at the same time?)
Yes
No
Maybe
Clear selection
Primary language spoken at home.
*
English
Spanish
Polish
Other:
Please describe recent family events or changes (i.e. death, new sibling, divorce, moving, etc.) that may impact your child.
Your answer
Do you have any special concerns about your child (academically, socially, medically, etc.)?
Your answer
My child's academic strengths:
Your answer
Tell me about your child's interests and after-school activities.
Your answer
My child approaches learning with (check all that apply)
with excitement
with reluctance
with curiosity
without interest
with confidence
with anxiety
Other:
Please provide any other information I may need to know about your child.
Your answer
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