Getting to Know

Your Child

Dear Parents/Guardians,

Thank you
in advance for completing the following form. Please fill this form as
as you can in all areas that apply to your child and family. YOU are the
completely

expert on your child and the information you can provide will be extremely useful in
tailoring my teaching practices to your childs personality and learning style. Please

complete this form and return it to school in a sealed envelope (Attached) by ____________.

I am looking
forward to learning more about your child!

Sincerely,

STUDENT contact
INFORMATION:


STUDENT NAME:
________________________________________________________________________________________


Guardian name(s) : ___________________________________________________________________________________
best way to contact you?
What is the
Email
cell phone
home phone

best number to call? ____________________________________________________________________
What is the

best time to contact you? ______________________________________________________________
What is the



What is the
best email address(es) to contact you? _________________________________________________

_____________________________________________________________________________________________________


please check
if you prefer all email addresses above to be cced on all emails
Yes
no

no, please circle your preferred primary email address from the question above.
if you check



Please sign
below to verify parent/guardian completion of the above form:

Name: _______________________________________
SIGNATURE: ______________________________________


Name: _______________________________________
SIGNATURE: ______________________________________


the Teacher: Please make sure your preferred e-mail address or phone number
Note From

is completed on this survey. I will be these contacts to regularly stay in touch with you.
A Middle School Survival Guide

Note From the Teacher: The below section is very important. Please complete it with as little
information as you can (the more the better!)
or as much



ADDITIONAL STUDENT INFORMATION:

Medical concerns/allergies/etc.
(please explain): ___________________________________________________


______________________________________________________________________________________________________


academic concerns
regarding my child: ______________________________________________________________

______________________________________________________________________________________________________


______________________________________________________________________________________________________


social concerns
regarding my child: ______________________________________________________________


______________________________________________________________________________________________________


______________________________________________________________________________________________________


my childs strengths
and weaknesses (can refer to both in and outside of school): __________________

______________________________________________________________________________________________________


______________________________________________________________________________________________________


my childs likes
and dislikes (can refer to both in and outside of school): ___________________________


______________________________________________________________________________________________________


______________________________________________________________________________________________________

PLEASE TELL ME ABOUT A TIME WHEN YOUR CHILD HAS BEEN MOST MOTIVATED TO LEARN IN SCHOOL: _____________

______________________________________________________________________________________________________


______________________________________________________________________________________________________



Thank you for your time and effort in completing this form. Please return it in the sealed

envelope. If you found you had more to say but not enough room, feel free to include
additional paper or email me at _____________________________________________________.

Thank you, again!
A Middle School Survival Guide

Getting to Know you:

technology

Dear Parents and Guardians,

This year we will be using technology to enhance the learning process. Please answer the following
questions to help us in the planning of activities and assignments for the students. Knowing student
access to technology will help to be able to assign assignments that will utilize their resources
effectively.

Thank you!

HOME TECHNOLOGY:
DO YOU HAVE A COMPUTER AT HOME, WHICH THE STUDENT MAY ACCESS?

YES

NO

Do you have an ipad at home, which the student may access?

YES

NO

DO YOU HAVE A WORKING PRINTER AT HOME?

YES

NO

DO YOU HAE INTERNET ACCESS?

YES

NO

Do you have an email address?

YES

NO

Please list your preferred contact email(s) __________________________________________________

Does your child have an email address?

YES

NO

Please list your childs email address _______________________________________________________

SCHOOL TECHNOLOGY:

THERE IS A WIDE SELECTION OF DIGITAL RESOURCES FOR DIFFERENT DEVICES. PLEASE LET US KNOW YOUR CHILDS ACCESS TO DIGITAL
RESOURCES TO B.Y.O.D. (BRING YOUR OWN DEVICE) TO THE CLASSROOM. THERE IS NO PRESSURE TO PROVIDE THEM WITH ACCESS TO
BRING DEVICES INTO THE CLASSROOM, BUT UNDERSTANDING THEIR ACCESS WILL HELP US TO MAXIMIZE THE STUDENTS BYOD
RESOURCES IN THE CLASSROOM.

DOES YOUR CHILD HAVE ACCESS/PERMISSION TO BRING A SMART PHONE TO CLASS?

YES

NO

DOES YOUR CHILD HAVE ACCESS/PERMISSION TO BRING A IPAD TO CLASS?

YES

NO

DOES YOUR CHILD HAVE ACCESS/PERMISSION TO BRING A COMPUTER TO CLASS?

YES

NO

YES

NO

DOES YOUR CHILD HAVE ACCESS/PERMISSION TO USE THEIR OWN (OR YOUR) EMAIL
ADDRESS TO SIGN UP FOR ACCOUNTS FOR FREE SCHOOL-BASED LEARNING PROGRAMS?

A Middle School Survival Guide

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