OPTIONAL Parent Input Form for Student Placement in 2022-23
Dear Parent:

This form is for families who would like to provide input regarding their child’s classroom placement for the next school year. Our paramount duty during the placement process is to create well-balanced classrooms that provide the best instructional setting for all students. In determining placement, our school teams and principal consider what we know about individual students, student groups that work well together, parent input, and overall classroom balance. As a family, you may have additional insight that helps us ensure a positive and productive year for your child. If you have input you would like us to consider, please complete this form and press submit by May 13, 2022. Please complete a separate input form for each child in your family. In completing this form, please note:

1. Completion of this form is optional. All students will be given careful consideration for classroom placement, whether or not parent input is provided.
2. We do NOT accept specific teacher requests or guarantee placement in specific classroom programs.  We will delete forms with specific teacher requests.
3. The information you provide will be shared with all staff involved with your child’s placement, including your child’s current teacher and next year’s teacher – this form is NOT confidential.  
4. Please understand that since we may have a low number of classes at each grade level, we will not be able to create classrooms that honor all requests, especially requests to put certain children together, separate children, and/or requests regarding combination/split classrooms.

Please complete this form no later than May 13, 2022 to ensure your input is considered. Thank you for your partnership in your child’s education.

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Email *
Name of person completing this form, and relationship to child *
Student Name (Last, First) *
What grade will your student be in NEXT year (2022-23)? *
Current classroom teacher's last name *
1. Please share any unique learning needs your child has. Possible information may include: learning style, personality, special interests and/or special programs. Please include challenges and strengths. (Requests for specific teachers will be deleted.)
2. There are times where a split/multi-grade class may be necessary due to student enrollment numbers at particular grade levels.  If you have specific feedback about your child's success in a split class, please share that here.
3. Is there any additional information you would like us to consider in this process, or information you would like next year’s teacher to know? (Please remember that we will delete all requests for specific teachers)
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