Intake Conference
Please complete a separate form for each child.
Parent Interview:
Student: _________________________________Date of Birth ___________ Male___ Female____
Student’s age: _____________ Student’s grade: _______________
Most recent school attended __________________________________________________________
Family Members: __________________________________________________________________
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What are you seeking from Foundations 4 adVANCEment?
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In your opinion, what are the primary differences between non-public and public schools?
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How did you hear about our school? __________________________________________________________________________________________________________________________________________________________________
Has your child attended another school? Yes ______ No _____ If yes, please provide the name of the school____________________________________ How long ____________________
What are your child’s feelings about attending school? _________________________________
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Does your child speak a language other than English? Yes_____ No ______
If yes, is the other language the primary language spoken in the home? Yes____ No _____
**Parent participation is a very important in ensuring that all of our student achieve at their highest level.
We are require our parents to volunteer 10 hours throughout the school year as well as take parent in fundraising are you willing to take parent in both of these activities? Yes ______ No_____
Students are required to maintain at least an 85% (B) grade in every subject, if a student falls below 85% they will go on academic probation, and will be unable to take part in any extra curricula activities and/or any field trips until their grades are above 85%.
Do you agree to work with your child regularly in order to help them maintain at least a 3.0 GPA? Yes ________ No _______
Tell us about your child by describing his/her traits or skills in the following areas:
- Personality __________________________________________________________________
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- Behavior at home ____________________________________________________________
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- Behavior at school ____________________________________________________________
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- Communication ______________________________________________________________
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- School Performance __________________________________________________________
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- Study Habits ________________________________________________________________
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- Independence in self help ______________________________________________________
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- Independence in decision making _______________________________________________
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Please list any question and/or concerns that you have about our services and programs:
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