Student Placement Form

Picadome Elementary School Student Learning Style Parent Input 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. Use the space below to provide any information that will assist us in the classroom placement of your child for the upcoming school year. Please do not list individual teacher names.

Child’s Name:__________________________________________________________

Current teacher:________________________________________________________

Grade in the Fall: _________________

Parent name__________________________________________________________

Phone:_______________________________________________________________

 

Your child’s learning style/needs:___________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________

 

Other concerns:_________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________

Please return to school no later than May 5, 2015.

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