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Preschool Student Information Form 2024-25
Child's Name
*
First Name
Middle Name
Last Name
Preferred Name
*
Name you would like your child to learn to recognize & write:
*
Child's Place in the family (oldest, middle, youngest, only)
Child lives with:
Child's siblings and ages (N/A if no siblings):
*
1 - How would you describe your child's interest and enjoyment in stories:
2 - How would you describe your child's ability to listen:
3 - How would you describe your child's enjoyment playing alone:
4 - How would you describe your child's enjoyment playing in a group:
5 - How would you describe your child's enjoyment in active play:
6 - How would you describe your child's enjoyment in quiet play:
7 - My Child enjoys these activities the most:
8 - Describe how your child behaves in a group of children based on the setting: Home/Family
9 - Describe how your child behaves in a group of children based on the setting: Child Care
10 - Describe how your child behaves in a group of children based on the setting: School
11 - Describe how your child behaves in a group of children based on the setting: Other
12- My child's biggest discipline issue is:
13 - Information that would be helpful when working with my child:
14 - Generally, how does your child behave when she/he is mad:
15 - Generally, how does your child behave when she/he is scared:
16 - Generally, how does your child behave when she/he is frustrated:
17 - Generally, how does your child behave when she/he is embarassed:
18 - Please describe your families' race, religion, home language, abilities, values, and culture.
19 - Would you be willing to come into the classroom and share something special about your family (food, culture, traditions…) Please describe.
20 - Goals for your child include:
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