Please Mark the Following

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Pioneer Elementary School
Optional Learning Environment Student Placement Form
2012-2013 School Year
Dear Parent,
The placement of your child for next year is a very important decision. The process for placement takes
many hours:
1.
Each teacher spends a great deal of time preparing information about your child to be
considered for placement. Your child’s teacher prepares a placement card with information about
your child’s learning strengths, areas where they may need more instruction, preferences,
compatible classmates, special needs, and the best learning climate.
2.
Members of the grade level meet together with their placement cards and build balanced
classrooms. Their first consideration for placement is what is right for each individual child.
a.
Balanced classrooms are built to ensure success of all students. Some factors they
consider are:
i. Student profile
iv. Academic balance
vii. Special programs
ii. Teacher recommendations
v. Equitable class size
iii. Group dynamics
vi. Distribution of boys and girls
b.
Class lists are built and evaluated, parent “input” information is checked regarding
the environment that best meets your child’s needs. If the current teacher has a different
perspective from that of the parent, it is noted, and passed along for the principal to
consider.
3.
The lists are reviewed with the principal and the team.
4.
Class lists are put aside and reviewed again when the staff is finalized during June & July.
5.
Final review is made by the last week of July.
6.
Class lists are posted prior to school opening.
Parent input is always an option. It is not a requirement. As a school and district our philosophy is to
value parent input. As you can see, we spend a great deal of time in making the placements and hope that
you can place your trust in your current classroom teacher to make careful choices.
If you wish to give additional information regarding the best type of environment and program for your
child, please feel free to complete the “input” form on the back.
Please complete this form and return it to the front office by:
Friday, April 20, 2012
Received Date:_________________By:_________________
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Updated 6/27/11
Pioneer Elementary School
Optional Learning Environment Form
Dear Parent,
Your child’s class placement and success throughout the school year is very important to us. The process
we use is outlined on the front page of this form. Please take a minute to review it before you complete
your input form.
We are fortunate to have a talented, energetic, and caring staff. They work as teams planning and
delivering quality instruction. If you elect to complete this form, we ask that you share information about
your child that will assist us in making the best teacher-student and student-class placement. Please return
to the school no later than 4/20/12. Thank you.
__________________________
Student Name
______________________
Grade 2012-2013
Complete the following you feel are relevant.
The most important priority I have for my child in school is:
Strengths my child has:
Challenges that my child faces:
Other factors I would like considered (health issues, learning style, special needs,
behavior, peer concerns, family history):
____________________________
____________
_____________________
Parent Signature
Date
Day Time Phone Number
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Updated 6/27/11
Pioneer Elementary School
Input for Kindergarten Placement
2012-2013
__________________________________
Student Name
____________________________
Date of Birth: Month/Day/Year
Did your child have previous preschool experience: No Yes
Location:____________________________
Number of Years: _________
___________________________________________ _________________________________________
Parent(s) Name(s)
Contact Information (Phone and/or Email Address) ______________________________________________
Please Mark the Following:
1=Seldom
2=Often
3=Most of the Time
____Obeys adult directions
____Plays with brothers/sisters well
____Sits for 15 minutes to listen to a story
____Plays with older children
____Is physically active
____Plays with younger children
____Is easily frustrated
____Goes to bed easily
____Is easily motivated
____Takes naps in the afternoon
____Works independently
____Likes to play outside
____Works best with structure
____Likes to color and cut with scissors
--------------------------------------------------------------------------------------------------------------------------------Please comment:
1.
Some of my child’s strengths with social skills are:
2.
Some of my child’s strengths with school skills (reading, writing, listening…) are:
3.
Some of the challenges my child faces are:
4.
The most important thing for my child to learn is:
5.
I would like to be active in my child’s education in the following ways:
____Read to him/her
____Go through my child’s backpack everyday
____Volunteer in the class
____Communicate frequently with the teacher
____Help my child with homework
____Do class projects at home (coloring, cutting…)
____Other:
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Updated 6/27/11
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