Preschool Information - Incoming Kindergarten Students!
*Please be sure you have parent permission before completing this form and sharing information with us.
We would like these filled out by June 30th. Thank you!

Hello Preschool Teachers!  We value this information from you each year as we build our classes of incoming Gurney Kindergarten students. It is very beneficial for us to have this information as it allows us to properly place your students and be prepared to meet them right where you have left off.

What follows are 18 questions about Social Skills and Self-Help Skills, 5 questions about academics and a place for your additional comments at the end of each section. Please fill out 1 questionnaire per student.

Thank you so much! We value your input and very much appreciate your time!
The Gurney Elementary Kindergarten Teachers & Staff
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GENERAL INFORMATION
1. Your Name - Preschool Teacher/Staff Member Completing Form *
2. Name of Preschool *
3. Student's First and Last Name *
4. Choose which best describes the preschool class this student was in.  *
SOCIAL SKILLS & SELF HELP SKILLS
1. Separates from parents easily. *
2. Transitions easily between activities. *
3. Cooperative when working with others. *
4. Listens to directions and consistently follows them the first time. *
5. Can follow multi-step directions. *
6. Stays on task and/or stays focused for a lesson or activity.  *
7. Completes work in a timely manner. *
8. Keeps hands to self. *
9. Raises a quiet hand to talk. *
10. Uses walking feet. *
11. Follows classroom rules consistently. *
12. Can sit and engage appropriately while listening to a story. *
13. Forms positive relationships with peers. *
14. Has a positive attitude toward school. *
15. Is respectful to peers and adults (tone of voice and expression). *
16. Understands consequences and boundaries. *
17. Can use the bathroom independently. *
18. Can zip coat and put shoes on independently (does not include tying). *
If you have additional comments about this student's social and self-help skills on which you'd like to elaborate, please write here! Thank you!
ACADEMICS
1. Correctly writes first name independently (first letter capital, the rest lowercase). *
2. Knows the majority of their capital letters. *
3. Can rote count to 10 independently. *
4. Has a strong pencil grip. *
5. Has a strong scissor grip and age appropriate cutting skills. *
If you have additional comments about this student's academic skills on which you'd like to elaborate, please write here! Thank you!
If there are any additional "supports" for this student that you think are important for us to know and would benefit his/her transition into kindergarten, please write them here. (These would be supports that work well for them based on their needs).
In kindergarten at Gurney Elementary, there are approximately 20-22 students of mixed abilities in a classroom with one teacher. We know sometimes a student has an atypical/significant need for support in academics and/or social/behavior areas and we purposely place him/her in a classroom with 2 adults (coteachers or teacher&aide). In your opinion... *
THANK YOU!!!!!!!!!
Thank you so very much for taking the time to fill this out! We value your input and use this along with other measures to best place all students in Kindergarten classrooms!
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