Socially:
____________________________________________________________________________________
____________________________________________________________________________________
Any additional information you would like to share?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Please describe the child’s social/emotional constitution.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Please share your thoughts on this applicant’s family, including the family’s involvement/
relationship with the school:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
To your knowledge, is the parent’s perception of their child compatible with the school’s
understanding of the child? Please elaborate.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Please use three words to describe the parents in regard to their child.
1. _________________________ 2. _________________________ 3. _________________________
Are you aware of any family circumstances that affect the child’s life at school?
____________________________________________________________________________________