2016~2017  Ms.  Chau  Second  Grade  Mandarin  Class      

Learning  about  your  child  

Dear  Parents,  

         I  feel  that  I  can  better  serve  your  child’s  individual  differences  if  I  know  a  little  

bit  more  about  him  or  her  and  your  expectations  as  a  parent.    Please  take  a  few  

minutes  to  fill  this  form  out  and  give  me  all  a  better  start  on  this  new  year.    This  

information  will  remain  in  my  personal  files  and  shall  remain  confidential.  Feel  

free  to  seal  this  in  an  envelope  if  you  wish.    

1. Child’s  full  name:  ______________________________________  

2. Child’s  nick  name  if  applicable:    ___________________________  

3. Child’s  birthday:  _______________________________________  

4. Any  step  parents,  other  adults:  ___________________________  

5. Siblings’  names  and  ages:    

Ø Brother(s):  __________________________________________  

Ø Sister(s):  ____________________________________________  

6. Your  occupation(s):      

Ø Father:  _____________________________________________  

Ø Mother:  ____________________________________________  

7. I  feel  my  child’s  strengths  are:  ____________________________  

_____________________________________________________  

8. I  feel  my  child  needs  improvements  in:  _____________________  

       ______________________________________________________  

    Continue  on  backside è  

2016~2017  Ms.  Chau  Second  Grade  Mandarin  Class      

9. What  do  you  consider  to  be  your  child’s  personality  strengths?      

_____________________________________________________  

   _____________________________________________________  

10. Does  your  child  have  any  fears  or  sensitivities?      

_____________________________________________________  

_____________________________________________________  

11. Are  there  any  areas  of  social  growth  that  you  would  like  your  child  to  

improve  in  this  year?  ____________________________________  

                     ______________________________________________________  

12. What  are  your  overall  expectations  or  goals  for  your  child  this  year?  

______________________________________________________  

______________________________________________________  

13. What  are  your  expectations  for  me,  as  your  child’s  teacher,  this  year?  

______________________________________________________  

14. Is  there  any  other  information  which  you  feel  would  help  me  to  

understand  and  better  serve  your  child?  

______________________________________________________  

______________________________________________________  

______________________________________________________  

 

Thank  you  for  taking  the  time  to  fill  out  this  valuable  information  request  form.    It  

will  be  helpful  in  making  this  school  year  successful  for  your  child.  :0)