AES Confidential Placement Concern 24-25

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Please note that this form is provided so that you may notify the school of any unique or significant concerns that should be taken into consideration when homeroom classes are being created for the 2024-2025 school year. Please complete and submit by April 19, 2024.

Please do not request a teacher by name. Specific teacher requests will not be honored.

Note also, that this form will not be shared with the teacher. If you have concerns about your child that you wish to share with the teacher, you must contact him or her directly once the the class placement is known.

Student's Name *

Student's current homeroom teacher: *

Individual filling out this form: *

Phone number: *

Best email address to contact you: *

My child has the following special concerns: *

Medical

Academic

Special social or emotional needs

Required

Please expand on the concerns checked above *

What would you like the school to know about your child to assist in placement? *

This form is confidential and will not be placed in the student's permanent folder.

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