Ms. Lippey's 4th Grade

Hi families,
I am inviting you to complete the following survey. I will use the answers you provide in order to learn more about you and your students. It is vitally important to me to cultivate a relationship with all of you so that we can ensure success this year! Please never hesitate to contact me with any questions or concerns.

Tell me about your student. (Feel free to give me an overview of his/her personality, hobbies/interests, concerns you may have, anything else you would like me to know):

What are some goals you have for your student this year?

Describe some of your students' strengths

How would you prefer to be contacted about your student? Feel free to circle more than one option.

Phone

Note Home

In-person conference

How often would you like to be in contact about your student?

Weekly

Monthly

Whenever a concern arises

Never

Would you like to offer some of your time to helping in the classroom?

How often?

In what capacity?

Please also list any skills you may have to offer. For instance: sewing, cooking/baking, etc.

Phone number and/or email address:

If your child has any allergies, please list them below: