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Student Information 23-24
Parents/Guardians, please fill out this survey so that I can learn more about your 3rd grade student and your family!
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* Indicates required question
Student Name
*
Your answer
Student's Birthday
*
MM
/
DD
/
YYYY
Parent/Guardian Name(s)
*
Your answer
Student lives with_________. (If it changes, please indicate)
*
Your answer
Address
*
Your answer
Phone Number 1 (indicate who it belongs to)
Your answer
Phone Number 2 (indicate who it belongs to)
*
Your answer
Email (will be used in teacher's email distribution)
*
Your answer
Other guardian email to be used in teacher emails (not required)
Your answer
Siblings' Names and Ages
Your answer
What language(s) are spoken at home?
*
Your answer
Allergies:
*
Your answer
Afternoon Transportation (Monday)
*
Car Rider
Bus or Van Rider
Independent Walker
Afternoon Transportation (Tuesday)
*
Car Rider
Bus or Van Rider
Independent Walker
Afternoon Transportation (Wednesday)
*
Car Rider
Bus or Van Rider
Independent Walker
Afternoon Transportation (Thursday)
*
Car Rider
Bus or Van Rider
Independent Walker
Afternoon Transportation (Friday)
*
Car Rider
Bus or Van Rider
Independent Walker
IF you marked "Bus or Van Rider" on any of the days above, please indicate which one below. Type "N/A" if this does not apply to your child.
*
Your answer
Parent Volunteer Opportunities
I would be willing to (check one or more!)
*
Serve as Room Parent
Make weekly copies
Help with class parties
Work on classroom needs (at home or school)
Provide class snacks
Be a guest speaker/reader
Sorry, I cannot volunteer at this time
Required
Parent Volunteer Days
I would be willing to help on (check one or more!)
*
Monday
Tuesday
Wednesday
Thursday
Friday
At home
Sorry, I cannot volunteer at this time
Required
What are your child's strengths?
*
Your answer
In what areas would you like to see your child grow?
*
Your answer
What motivates your child?
*
Your answer
What does your child like to do for fun
*
Your answer
What holidays does your family celebrate?
*
Your answer
Are there additional cultural traditions in which your family participates?
*
Your answer
Is there anything else you would like of which you would like me to be aware? I am excited about our year together! Thank you!
Your answer
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