2025 Teacher Information Request

Teacher Information Request

We would appreciate your time in completing this form. We are requesting this information to better understand if Camp Avanti is a good fit for this individual and/or to better understand how best to support them while at Camp Avanti this summer. Thank you for your valuable input! ~ Camp Avanti Administration
Student/Camper Name*
Teacher Name*
Best Phone Number (in case the review committee has more questions)*
Please enter a valid phone number.
How many students are in this camper's class?*
How many student support staff are typically with this class (not including the teacher)?*
How much of the day does this camper require close/1:1 supervision and guidance? Please answer as a %.*
How many times per week do you see running away?*
How many times per week do you see hitting and/or kicking?*
How many times per week do you see verbal outbursts?*
What are the biggest successes this camper has during a typical school week?*
What peer situations/interactions are the most successful?*
What supports do you feel are most vital to this individual during school hours?*
What supports would you recommend in an outdoor/physically active camp setting?*
Safety is a priority for everyone. Can you describe the types of situations where this individual might run away, hit or kick others, or be verbally aggressive?*
What strategies are used to attempt to prevent or defuse those types of situations?*
If there is a structured behavior or reward plan in place, we would appreciate a description of it (or upload the file below). It may be helpful for this individual to have a familiar way to know the expectations and to receive feedback.
File Upload: behavior or reward plan

Cancelof
Any addition information that you would like to share?
Signature*

Clear
Should be Empty: