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Parent Input for Student Placement

2016-17
(Optional)
Student Name:_______________________________________________________
Current Teacher:__________________________ Grade entering___________
Parent Name: _______________________________________________________
If there is anything about your childs needs that you feel would be helpful in placement as we construct
classrooms for next year, please let us know on this form.
Completion of this form is optional; it is simply a communication tool for those who wish to use it.
(Please do not request a specific teacher by name.)

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