Please put your contact information here or any important contact information for other caregivers. *
Your answer
What is your child's birthday? *
MM
/
DD
/
YYYY
Your name and relationship to the student *
Your answer
Does your child have a nickname they prefer to be called? *
Your answer
What is the primary address of the student? *
Your answer
What is the primary language spoken in your home? *
Which languages does your child speak fluently? Check all that apply. *
Required
Do you need a translator when we meet or talk on the phone? *
What is the best time of day for a conference or to reach you?
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Please list adults that live with your child. *
Your answer
Please list children that live with your child. It is helpful if you let me know their age, gender, and whether or not they attend Melvindale schools. For example, John, age 10, male, fifth grader at Allendale. *
Your answer
Does your child have problems with speech or language? *
Is your child right or left handed?
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Does your child have any health concerns that I need to know about? Please describe. *
Your answer
Do you have internet access at home? *
Are there any recent family events or changes (e.g. death, divorce, new sibling, moving) that I should know about?
Your answer
What are some other things you would like for me to know about your child? (hobbies, likes, dislikes, your concerns, strengths, weaknesses, etc.)
Your answer
How does your child feel about school?
Your answer
What questions or concerns do you have for the upcoming school year?