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Student Profile: Parent Form

Child's Name____________________________Date of Birth_____________________

School_____________________________Phone__________________________

Grade Level_________________________Date Completed__________________

  1. What my child is interested in:
  2. Things my child is ready to learn:
  3. My child is best at:
  4. My child needs most help with:
  5. Help my child has received in the past:
  6. Problems with my child's current program:
  7. Possible alternatives and/or additions to my child's current program:
  8. Services that my child needs:
  9. Special concerns I have about my child:
  10. Suggestions I have about working with my child:
  11. Strengths my child has in the area of:
    • Academics:
    • Speech:
    • Motor:
    • Social/Behavior:
    • Vocational/Prevocational:
    • Self-Help:
    • Self-Advocacy Skills:
  12. Concerns I have for my child in the following areas:
    • Academics:
    • Speech:
    • Motor:
    • Social/Behavior:
    • Vocational/Prevocational:
    • Self-Help:
    • Self-Advocacy Skills:
  13. When my child leaves high school as a young adult, I expect:

(1999)