Student Information Sheet
Please tear off and return to
Core teacher: Miss DelVecchio
As your child’s teacher, I’d like this school year to be the
best your child has ever had. That’s why I’m asking for your
help. I’ve found that the more I know about my students, the
easier it is for me to help meet their needs. For that reason, I
would appreciate it if you could take time to answer the
questions below. Of course, this is completely voluntary. If you
don’t feel comfortable answering a question, just skip it. Thank
you so much for your time!

Child’s Name: ______________________________________
Child’s Birthdate: ____________________Age ____________
Home Phone # : _____________Work Phone #:______________
Please phone home only _________ May call at work ___________(Check
One or both)
Name
of parents or guardians (First and Last)
_____________________________________________________
Do
you have an e-mail address where I can contact you?
_____________________________________________________
1.
Please list any areas of STRENGTHS for your child (specifically
concerning the areas of reading, writing, and spelling):
2.
Please list any areas in reading, writing, or spelling in which
you would like to see GROWTH:
3.
Please list any EXTRACURRICULAR INTERESTS your child may have:

4.
Please list any SOCIAL concerns or strengths your child may
have: