Welcome to a new school year! As we spend time creating a
classroom learning community, Id like to know more about your child through your eyes. The more I know, the better I can tailor an educational and motivational program to fit his/her particular needs. Please complete the areas below and have your child return it to me as soon as possible. Thank you! Childs Name: _________________________________________ Parent(s)/Guardian(s): ___________________________________ Address: ______________________________________________ Home Phone Number: ___________________________________ Moms Work Number: ___________________________________ Dads Work Number: ____________________________________ Any allergies or medical concerns: _________________________ ______________________________________________________ List five words that best describe your childs character (e.g. competitive, cheerful, etc.) ________________________________ ______________________________________________________ What motivates your child? _______________________________ ______________________________________________________ ______________________________________________________ What upsets your child? __________________________________ ______________________________________________________ ______________________________________________________
Which learning skills does your child need to develop? (e.g.
organization, timelines, conflict resolution, etc.) ______________________________________________________ ______________________________________________________ ______________________________________________________ Which academic subject(s) is your childs best? _______________ ______________________________________________________ Which academic subject(s) does your child struggle with? ______________________________________________________ Has your child ever been on a growth plan? __________________ Has your child ever received formal testing that resulted in an identification and IEP? ___________________________________ What would you say are your childs strengths? ______________________________________________________ ______________________________________________________ ______________________________________________________ Are there any other things you would like me to know about your child? ________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ What are your goals for your child this year? ______________________________________________________ As your childs teacher, what do you hope to see from me? ______________________________________________________ ______________________________________________________