Student Info Form for Teachers

1
Your Name* This field is required.
First Name
Last Name
2
Your Email* This field is required.
example@example.com
3
Name of your Student* This field is required.
First Name
Last Name
4
Which subject do you teach?* This field is required.
Please Select
Please Select
Elementary (grades K-5, so I teach all core subjects)
English Language Arts
Math
Science
Social Studies
P.E.
The Arts (Dance, Theater, Art, Music, etc.)
Foreign Language
General Elective
Computers/Technology
5
Is the student in jeopardy of failing your class and/or the grade?* This field is required.
YESNO
6
What topics or concepts is the student currently learning in your class?* This field is required.Please include what you are currently (present day) focusing on in class. Feel free to include the previous topics/units if the student did not master the skills and therefore is struggling through the current topic/unit. If you teach elementary, please include all subjects that the student needs extra help in.
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Ok
7
What are the student's top three academic strengths in your class?* This field is required.What do you find yourself most often celebrating this student for?
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Ok
8
What are the student's top three areas of improvement or weaknesses in your class?* This field is required.What specific skills does the student need to improve on in order to improve their grades?
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9
What are the student's most recent test/quiz scores?* This field is required.Please input most recent test scores and their topics (ex: 3/1/24 - Math quiz - Topic: inequalities - Score: 83%). List as many tests/quizzes as you can so we can get the full scope of the child's grade point average. If you teach elementary, please include all exams for the subjects that the student needs extra help in.
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10
How would you rate the student's overall academic performance? * This field is required.On a scale of 1 to 5, with 1 being poor and 5 being excellent
Please Select
Please Select
1
2
3
4
5
11
Are there any additional comments or information you would like to share about the student's academic progress or learning style?Please feel free to provide even the smallest details for this students' preferences, behaviors, likes/dislikes, tendencies, and/or best learning styles.
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