Parent Input Form SY 2021-2022

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Please understand we must consider many different factors in order to create balanced classes for the next grade, and we cannot consider requests for particular teachers (other than to consider sibling history or multiple siblings when possible).

Email *

Child's Name *

In what ways does your child experience success at school? How has your child made progress in recent years? *

What aspects of school are most challenging for your child? *

Please indicate your observations of your child outside of school (check as many as apply): *

Neat and organized

Works through complex tasks and multiple steps independently

Does well when steps and directions are explicit

Loses things easily

Gets overwhelmed by big projects/complex tasks

Self-motivated student – reads and practices on his/her own

Completes homework easily & always

Avoids homework

Struggles with completing or knowing what to do

Battles homework, gets stuck

Completes homework but forgets to turn it in

Makes a variety of friends easily

Close with only one or two other children

Needs help connecting with peers

Other:

Required

Are there peers who are helpful/supportive in the classroom? *

Are there peers who may distract your child adversely in the classroom? *

Are there any special circumstances that could affect your child’s school performance in the coming year? *

Send me a copy of my responses.

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