Student Conference Form - Our Montessori School printable pdf download

Student Conference Form

This questionnaire is intended to help you child’s teacher better understand your child. Answering these

questions is to be done voluntarily and all information will be kept conﬁdential. Please complete this form and

submit it with your enrollment form. Thank you!

Name of Child:________________________

B irth

Date:_______________

D ate______________

Are both parents living at home with your child? Yes_____ No_______

If not, please describe custody/guardianship arrangements:________________________________________

_______________________________________________________________________________________

Siblings:

N ame

A ge

_ ___________________

_ ________

_ ___________________

_ ________

_ ___________________

_ ________

Are there any other people living with the child?________________________________

Is there a second language spoken in the home and if so which one?_________________

Have there been any unusual occurrences in the life of your child which have been traumatic or difﬁcult such as

a death, divorce, or accidents? If so please describe:______________________________________________

________________________________________________________________________________________

Does your child have any special needs, physical handicaps, speech problems or learning disabilities we should

be aware of?______________________________________________________________________________

________________________________________________________________________________________

Is there any information that may be helpful to us about your child?__________________________________

________________________________________________________________________________________

What previous preschool or daycare experience has your child had?__________________________________

________________________________________________________________________________________

OVER

Is your child involved in extra-curricular activities?______________________________

Student Conference Form - Our Montessori School