Incoming Kinder Assessment Form

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Dear Families- Typically, we would be able to sit with your child and get to know them through an in-person assessment process. But since we cannot do this right now, we are counting on parent knowledge of your child to assist us in best preparing to meet their needs. So that we can have as true a picture as we can gather from this format, please be sure to have your child independently do tasks included here without your help. If they are unable to complete a task, please do not worry. This will allow us to plan most effectively for meeting the varied needs of our students. Thank you.

Child's Full Name *

Parent(s)/Caregiver(s) Full Name *

Best E-mail Address(es) *

Welcome to Hedenkamp! On a scale of 1 to 4, is your child excited about starting kindergarten? *

Not yet

Yes

What is your child's full birthdate? *

ÅÅÅÅ

Please indicate which kindergarten program you enrolled your child for. *

Dual Language Immersion

English

Please tell us about your family. Who lives in your home? Who is their primary caretaker? Are there any siblings? Please list ages. Are there any family dynamics we should be aware of? (Military, blended, single parent, etc.) What languages are spoken in the home? What languages does your child speak? *

What is your child's early childhood education experience? (Daycare, preschool, grandparents, etc.) What was the frequency of attendance? What age did they start? *

Does your child have trouble separating from their primary caretaker? *

My child has not yet spent time with others outside our home, or still has difficulty when left with someone other than family.

My child needs to warm up to someone before they will be comfortable being left alone with them.

My child sometimes has trouble, or initially has trouble, but is able to adjust to separation.

My child enjoys going places and is confident in new surroundings and people.

What is your child's general activity level? *

Calm

Somewhat active

Active

Extremely active

Does your child participate in any extracurricular activities? (Sports, dance, music, etc.) Does your child enjoy them? Does your child actively participate? *

What are your child's strengths? ( Academics, Social, other) *

What areas would you like to see growth in? (Academics, Social, other) *

Do you have any health concerns for your child? (Allergies, asthma, etc. ) *

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