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Studentiformationsheet

This document is a student information sheet collecting personal details about a student including their name, age, address, parents' contact information, siblings also attending the school, access to the internet at home, any medical issues, and additional concerns. It requests the student's last name, first name, middle initial, age, birthdate, home address, how the child gets home, who they live with, mother and father's names and contact details, any brothers or sisters attending the same school along with their teachers, whether the student wears glasses or has any medical issues the teacher should be aware of, and a section for additional concerns.

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178 views1 page

Studentiformationsheet

This document is a student information sheet collecting personal details about a student including their name, age, address, parents' contact information, siblings also attending the school, access to the internet at home, any medical issues, and additional concerns. It requests the student's last name, first name, middle initial, age, birthdate, home address, how the child gets home, who they live with, mother and father's names and contact details, any brothers or sisters attending the same school along with their teachers, whether the student wears glasses or has any medical issues the teacher should be aware of, and a section for additional concerns.

Uploaded by

api-255720367
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Student Information Sheet

Last Name _______________ First Name________________ Middle I _____


Age ________ Birthdate ____________________________________________
Home Address ____________________________________________________
City __________________________ State ________ Zip Code ___________
How child gets home ______________________________________________
Child lives with ___________________________________________________
Mothers Name ___________________________________________________
Home # ________________________ Work # _________________________
Cell # _____________________ Email _________________________________
Fathers Name ____________________________________________________
Home # ________________________ Work # _________________________
Cell # __________________________ Email ____________________________
Brother or Sisters attending this school
Name ____________________ Grade ______
Name ____________________ Grade ______
Name ____________________ Grade ______
Name ____________________ Grade ______

Teacher __________________
Teacher __________________
Teacher __________________
Teacher __________________

Do you have access to Internet at home? ___________________________


Does your child wear glasses? _____________________________________
List any medical issues/concerns that I should be aware of...
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Additional Concerns...
__________________________________________________________________
______________________________________________________________
_________________________________________________________
Crea've Clips by Krista Wallden

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