Student Conference Form - Our Montessori School

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Student Conference Form
This questionnaire is intended to help you child’s teacher better understand your child. Answering these
questions is to be done voluntarily and all information will be kept confidential. Please complete this form and
submit it with your enrollment form. Thank you!
Name of Child:________________________
​ B irth
Date:_______________
​ D ate______________
Are both parents living at home with your child? Yes_____ No_______
If not, please describe custody/guardianship arrangements:________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Siblings:
​ N ame
​ A ge
​ _ ___________________
​ _ ________
​ _ ___________________
​ _ ________
​ _ ___________________
​ _ ________
Are there any other people living with the child?________________________________
Is there a second language spoken in the home and if so which one?_________________
Have there been any unusual occurrences in the life of your child which have been traumatic or difficult such as
a death, divorce, or accidents? If so please describe:______________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Does your child have any special needs, physical handicaps, speech problems or learning disabilities we should
be aware of?______________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Is there any information that may be helpful to us about your child?__________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
What previous preschool or daycare experience has your child had?__________________________________
________________________________________________________________________________________
________________________________________________________________________________________
OVER
Is your child involved in extra-curricular activities?______________________________

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