Student profile sheet

Child's name _________________ Birth date___________

School______________________ Phone_______________

Teacher_____________________ Grade_______________

1. What my child is interested in:

2. Things my child is ready to learn:

3. My child is best at:

4. My child needs help with:

5. Help my child has received in the past:

6. Concerns with my child's current placement:

7. Possible alternatives or additions to my child's current service: