Early Years Transition Information

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Early Years Transition Information - DDPS

Dear Families and Guardians:
Welcome to Thames Valley District School Board! As your child enters school for the first time, we strive to ensure the transition is as smooth as possible. In order to help us better understand your child, we would like for you to provide us with any information you are comfortable sharing with the school team.

Student Information

Student Name: *

Parent(s)/Guardian(s): *

Email: *

Languages Spoken at Home:

Health

Hearing Tested:

Yes

Other:

Clear selection

Hearing Results:

Yes - Equipment or Hearing Aids

Other:

Clear selection

Vision Tested:

Yes

Clear selection

Vision Results:

Yes - Eyewear

Other:

Clear selection

Medical Diagnosis(es)

Tell us more about your child's self-help skills:

Does your child require support with toileting?

Can your child feed themselves independently?

Can your child dress themselves independently?

Do you have concerns about how your child communicates with others?

Other:

Community Involvement:

Children's Aid Society

Children & Parent Research Institute (CPRI)

Community Living London/Elgin

Early ON Child & Family Centre

Merrymount Children's Centre

Tyke Talk

Thames Valley Children's Centre

Welkin Child & Youth Mental Wellness

Vanier Children's Services (VCS)

Other:

Permission to place in Ontario Student Record

Yes

Clear selection

Notice of Collection: The personal information provided on this form and any other correspondence relating to involvement in Board programs is collected by the Thames Valley District School Board under the authority of the Education Act and Regulations (R.S.O. 1990 c.E.2) as amended. The information will be used to register the student in a school as well as for any consistent purpose, and to share information with employees to carry out their job duties. In addition, the information may be used for matters of health and safety, or discipline and as required to be disclosed in compelling circumstances for law enforcement matters or in accordance with any other Act. For questions about this collection, contact the Board’s Freedom of Information Co-ordinator, Thames Valley District School Board, 1250 Dundas Street, London, Ontario, N6A 5L1, Telephone 519-452-2000, Ext. 20218. Untitled Title

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