Clear Form
☐ 2022-2023
☐ 2023-2024
☐ Year 7 (Upper Elementary)

Child

☐ M
☐ F

Parent / Guardian 1

Parent / Guardian 2

Background information

Please list every school that your child has attended
What are your educational goals for your child? How do you see us facilitating these goals?
What role can we expect the child's parent(s)/guardian(s) to play in facilitating this child's educational goals?
Please describe your child's educational experience thus far. What has been successful? What has been challenging?
Does your child have any hobbies, sports, or special interests, capabilities or talents?
How do you see your child in their social and emotional development?
Please give examples of skills your child has in relation to their independence
Does your child have any special needs (educational, medical, or psychological)? Has your child received any testing or evaluations that would relate to their academic or social performance?

Academic ability

If you are aware of their reading 'level' please include this
Please comment based on feedback you have had from your child's current schooling