Fourth Grade Information Sheet
Dear Families,
I would appreciate it if you would take the time to complete this
information sheet to assist me in getting to know your child better. The
information you provide will remain a confidential part of my classroom
files. Please send this sheet back to school with your child on the first
day. Thank you for your cooperation.
Child's Name:____________________________________________________________
Birth Date:_______________________________________________________________
Health concerns/ Allergies:_________________________________________________
________________________________________________________________________
Parent(s)/Guardian(s):_____________________________________________________
Family members at home:__________________________________________________
Siblings attending Winthrop:________________________________________________
Parent(s)/Guardian(s) E-mail:________________________________________________
Home Phone Number:_________________Cell/ Work Number:____________________
Special interests of my
child:___________________________________________________________________
_________________________________________________________________________
My child's strengths (academic/ social-emotional): _________________________
____________________________________________________________________________
____________________________________________________________________________
Areas for continued development:____________________________________________
____________________________________________________________________________
Expectations of my child this year include: ________________________________
____________________________________________________________________________
____________________________________________________________________________
Expectations of Ms. O'Brien include:_________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Additional information you would like to share: ____________________________
____________________________________________________________________________
____________________________________________________________________________
Thank you!
Ms. Jennifer O'Brien