Parent Feedback Form for Student Placement

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We appreciate the fact that our families desire a successful placement for their children every school year. Your voice is very important to us, and we encourage your feedback. Please rest assured that a sincere attempt will be made to work closely with teaching staff, support staff, and families to provide a classroom placement for all students that promotes high academic achievement, as well as strong relationships with their teacher and peers. Please take a moment to fill out this feedback form. This form is not required, however, you can supply us with valuable information about how your child best learns. Please understand that this form is not for requesting a specific teacher for your child. Teacher requests will not be honored.

This form must be completed by 8:00pm on May 21st.

What is your child's name?

What Grade will your child be enrolled in for the 2021-22 School year?

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Clear selection

Unique Needs

I would appreciate the following unique needs of my child considered as placement is planned for next year:

Learning Environment

I am requesting this kind of learning environment because of the following characteristics of my child:

I would also like the following additional information considered:

I understand that the school will consider the information I have provided above, as well as other factors listed in the Placement Procedure when next year’s placements are made for my daughter/son.

Agree

Disagree

Clear selection

Please specify the person responsible for completing this form.

Submit

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