24-25 Amberly Family Input Form
When placing students into a classroom, the goal is to create classrooms that are balanced academically, behaviorally, and socially, thus creating a healthy classroom environment for all students.

Completing this form is not required, as great care is taken to ensure a quality educational experience and attention is given to each child.

Please request a particular classroom environment, but not a particular teacher.

The final decision on all student placements is based upon a variety of factors including, but not limited to, academic/social considerations, total class size, male/female ratio, and equitable grouping.

Please fill in ONE form per student

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Email *
Student Name:
Student's CURRENT Teacher:
Grade your child will be entering NEXT school year:
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Academic Strengths (Check all that apply)
Areas of Concern (Check all that apply)
In what kind of learning environment does your child respond best?  (Check all that apply)
Student Characteristics:  How do you view your child?  (Check all that apply.)
Is there a student(s) with whom your child should not be placed?  Explain.
List any other concerns you have regarding your child’s placement:
A copy of your responses will be emailed to the address you provided.
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