Parent Survey (Culcasi/Shirvanian)
We would like to take this opportunity to learn more about your child.  Please take a few minutes to answer the following questions  and submit this form by Wednesday, September 11.  We value your insights and look forward to working with you to make this a positive and productive year for your child.

The best way to reach us is via email.  Feel free to contact us anytime throughout the year with questions or concerns.

Sincerely,

Ms. Lindsey Culcasi:  lculcasi@frsd.k12.nj.us
Mr. Daniel Shirvanian:  dshirvan@frsd.k12.nj.us
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Email *
Child's Name *
Last Name, First Name
Mother's Name *
Last Name, First Name
Father's Name *
Last Name, First Name
Phone Number *
Please provide your preferred phone numbers in order of which to call first.
Email *
Please provide your preferred email address.
*
How often do you check your email?  Is this an effective method for us to communicate with you? *
Does your child have a nickname that he/she prefers?  If so, please list. *
What are your child's strengths? *
What are your child's interests and hobbies? *
Describe your child's work and study habits (i.e. organization of belongings and/or time, procrastination, completion of assignments etc.).  Is this a topic of concern for you? *
What academic areas and/or social skills would you like to see developed? *
Are there any concerns that your child has expressed about school? *
Although it is not necessary to have a computer, please let us know what equipment your child has access to at home.  Place a check next to the items you have: *
Required
Is there any other information you would like us to know about your child? *
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