Child Information Data Sheet for Mrs. Katharine L. Demers
4th Grade Teacher
Please complete this form so that I can better meet your child’s needs. Please answer as many questions as you can. Please return this page to me at school by mail (or even email!) or on the first day of school. I really enjoy getting to know all about my students before I even meet them!
Your Name(s): _______________________________________________________________
Your child’s Name: ___________________________________________________________
Birthday: _______________ Age: ______
The best time to contact you: _________________________________________________
Home Phone Number: ___________________ Can I contact you at work? Yes No
Work Phone Number(s) ________________________________________________________
Other Numbers (cell): __________________________________________________________
Email ( I send email newsletters and most communication via email - I check this EVERY day- the best way to reach me!)
_________________________________________________________________________
Parent/ guardian email (s)
___________________________________________________________________________
Parent/guardian email(s)
____________________________________________________________________________
Student email address (if you want)
Would you prefer having my newsletter sent to you via email this year? Yes No
QUESTIONS? Feel free to email me:
kldemers@gmail.com
Also... Check out my website (which is updated DAILY during the school year!)
http://teacherweb.com/NJ/UpperTownshipElementary/KatharineDemers/
OVER PLEASE FOR SOME IMPORTANT QUESTIONS ABOUT YOUR CHILD à
Please feel free to use more paper if space is necessary J
1. How do you feel that your child has grown over the last 12 months? (educationally, socially at school or at home)
2. What was the most difficult part of last year for you or your child?
3. What was the best part of last year for you or your child?
4. What are your child’s challenges? List the areas in which your child has the greatest difficulties and where your child might need extra assistance (ex: specific subjects, speaking in front of a group, staying focused, staying organized, etc. ).
5. What are your child’s strengths? What subjects and /or activities does your child enjoy in school?
6. What do you feel is your child’s favorite school subject(s)?
7. What are your child’s hobbies and interests? (both at school and home)
8. List any other pertinent information, including a health care need, which has not been included elsewhere in this form.