1-S Parent Questionnaire & Survey
Dear Parents,
Throughout the year we will need your help. Please look over the following list and mark any of the activities you are willing to help out with.
I can help the Room Mother with events, activities or fundraisers, tell me what to do!
I like to make "cute" food, like shaped sandwiches, jello jigglers, or molded candies
At School:
Procure materials for a special project
Help monitor learning stations (centers)
Help with an art project
Read to students
Tutor students
Be a guest speaker
Help with special events and projects
Make copies
Change bulletin board displays
Lead out in Junior Achievement lessons
Inspect, repair and inventory classroom books
File
Take pictures on field trips
Inventory classroom materials
Help students in the school library/computer lab
Help monitor students during recess and/or lunch so the teacher can have a break/go to meeting
Talk to the class about:
Demonstrate to the class
At Home:
Make phone calls
Create a class scrapbook
Cut, punch, color or paste things
Collate information packets
Research topics on the Internet or at the local library
Sew projects
Bake
Label folders
Pray for you and the class
Personal Information:
Student's Name (nickname:)
Age Birth date //
Phone email
Best time to reach us: AM PM
AddressCityState Zip
Mother: occupation work phone
Hobbies:
Father: occupation work phone
Hobbies:
Married Divorced (child lives with mother / father)
Siblings:
age Attends AWS in 's room.
age Attends AWS in 's room.
age Attends AWS in 's room.
age Attends AWS in 's room.
After school my child will:
walk home or to my office
Go to Kid's Camp (select: M T W Th F
Ride home with:
In case of sickness or emergency during the school day, who should be contacted first?
1st name relationshipphonecell
2nd name relationshipphonecell
3rd name relationshipphonecell
4th name relationshipphonecell
Please list any special medical requirements, medications, or allergies:
Please answer the following about your child:
1. These are my child's strengths:
2. These are my child's weaknesses:
3. I would like to see my child grow in this area:
4. These are some concerns I have about this school year:
5. These are my child's interests:
6. My child enjoys reading: yes no
7. This is about how much time my child watches TV each night hours min
8. My child does regular chores at home: yes no
Comments:
Please only submit one time! Thank you so much for taking the time for these questions!
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