Moorlands Elementary School Optional Parent Input Form for the 2019-20 School Year
The goal of a careful and thoughtful placement process is to provide all students with an equal opportunity for a positive and strong educational experience. In determining placement we consider what we know about individual students, student groups that work well together, parent input, and issues of classroom balance. Our paramount duty during the placement process is to create well-balanced classrooms that provide the best instructional setting for all students.

Your input is an important aspect of the placement process. If you have input you would like us to consider, please complete this form by May 15, 2019 to ensure that it can be used as part of the placement process.

Some items to 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. The information you provide will be shared with the appropriate faculty involved with your child’s placement.  It is not confidential.

3. Understand that we will not be able to create classrooms that honor all requests, especially requests to separate children or place children together.

4. This form may not be used for requesting a specific teacher.

*Please fill out a separate input form for each child in your family.

Thank you for your interest in your child’s education.
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Child's First Name *
Child's Last Name *
Grade next year (2019-2020) *
Current Teacher's Last Name *
Parent's First Name *
Parent's Last Name *
Today's Date *
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Q1: Learning Strengths/Challenges
Indicate any specific, special learning needs your child has. Possible information could include: learning style, personality, special interests and/or special programs.
Challenges:
Strengths:
Q2: Placement Requests
Due to severe problems, please consider separating my child from the following student(s) if possible.  Please explain.
Q3: Specific Learning Needs
Please share any exceptional information or specific learning needs your child has.
Medical:
Family Concerns:
Social:
Academic:
Q4: Additional Information
Is there any additional information you would you would like us to consider in this process?
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