Parent Input 2012-13

Please complete the information below to assist us in placing your child in the best possible learning environment for next year. Please understand, due to State requirements to meet class size, specific teacher requests cannot be honored. Thank you for your understanding


A red asterisk (*) indicates required questions.

  1. Your child's legal LAST name*


  1. Your child's legal FIRST name*


  1. Grade level of your child NEXT year*
    Kindergarten
    First Grade
    Second Grade
    Third Grade
    Fourth Grade
    Fifth Grade


  1. How would you describe your child's academic abilities?*
    Above Average
    Average
    Below Average
    Unsure


  1. How would you describe your child? (Mark all that apply)*
    Shy
    Quiet
    Very Social
    Cooperative
    Outgoing
    Respectful of others
    Likes to work independently
    Works well in group settings with other children


  1. How would you describe your child's behavior?*
    Almost no behavior problems
    Occasional behavior problems
    Weekly or Daily behavior problems


  1. Teaching Style: Which teaching style do you feel is best for your child?*
    A teacher who keeps a quiet room and structured learning activities.
    A teacher who allows movement and independent work but also expects a quiet room atmosphere.
    A teacher who allows activity to occur in the room as part of the learning environment
    None of the above


  1. How much do you anticipate on volunteering in your child's classroom next year? (Volunteers must be approved through the Volunteer Application Program - see school's web site)*
    Every Week
    Occasionally when I can
    Very Little
    Field Trips only
    Probably not at all


  1. Please describe any health issues with your child.


  1. Does your child have an IEP and receive any ESE services?
    Yes
    No


  1. Are there any children you are aware of that you would prefer not be in the same class with your child? Please list their names below. (Please note, we cannot guarantee that your child will not be with any child that you might list but we will take this information into consideration.


  1. Is there anything else we should know about your child to help us in placing him/her in an appropriate learning environment for next year?


  1. Name of person completing this survey.