Child's Name

Name of Parent Completing This Form and Relationship to Child

Provide a brief school history for your child including school name and age/grades completed. Please begin with preschool, if applicable.

What do you perceive to be your child's strengths, abilities, and talents in school?

What do you perceive to be your child's outstanding difficulties in school?

What aspect of school does your child like most?

What aspect of school does your child like least?

What is your child's current level of motivation to learn?

How does your child relate to peers? Does your child have many friends and/or prefer older or younger friends? Or does your child have difficulty establishing and maintaining friendships?

How does your child deal with transitions to new situations such as embarking on a new school year or trying a new and unfamiliar activity?

Has your child displayed behavior problems at school? At home?

Does your child have any history of emotional problems?

List any therapists, tutors, or learning disability specialists your child works with or has worked with in the past.

Describe your child's relationship with his/her parents.

Describe your child's relationship with his/her siblings.

What does your child do in his/her leisure time? Explain his/her hobbies and interests.

In order to fully understand your child's strengths and weaknesses, it is important that we know about his/her parents' strengths and weaknesses. Please list each parent's education, occupation, as well as strengths and weaknesses.

Is your child a legacy of any Atlanta-area schools? Does your child have siblings currently attending an Atlanta-area school?