Picadome Elementary School

Student Placement Form

Picadome Elementary School values parental input regarding student classroom placement.  Students at Picadome are placed using the Picadome Elementary Placement Criteria Policy.  We recognize that every child has unique differences and needs that should be considered in the placement process.  Please use the space below to provide any information that will assist us in the classroom placement of your child for the upcoming school year.   

 

 Child’s name:_______________________________________

Address:__________________________________________

Phone:____________________________________________

Present teacher:____________________________________

Grade level child will be entering this fall: _________________

Parent name (signature)_______________________________

 

Your child’s learning style/needs:_______________________________________________

_______________________________________________________________________
_______________________________________________________________________

 

Other concerns:___________________________________________________________
_______________________________________________________________________

_______________________________________________________________________

 

Please return this form to school no later than May 1st, 2008.