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This is what I use:
By cj 1st

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In an effort to better understand your child, I am asking you to help me by giving me any
information you think may be important. I’m not asking for anything confidential. I’ve
learned from experience that it is helpful
to be aware of students’ fears, medical
conditions and general attitude toward school.
Please send the completed form back to school with your child.
Thank you!

Student Name____________________________________

How does your child feel about being in school all day?___________________________________

________________________________________________________________

Are

there siblings at home that he/she will be missing?__________________________________

________________________________________________________________

Does your child have any medical conditions that need to be brought to

my attention?(allergies, asthma...)_______________________________________________________

Does your child have any great fears that need to be brought to my

attention?_____________________________________________________________________________

Does your child know where you will be parked after school for pick-up?

Please note location here.__________________________________________

Favorite activities at home: ____________________________________________________________

Does your child participate in extra-curricular activities?_________________________________

Are you willing to help your child nightly with homework?________________

Usual bedtime: ______________________

Other information: ____________________________________________________________________


Thank you for your cooperation!

 


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