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* 1. Student First Name

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* 2. Student Last name

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* 4. Student's Current Teacher

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* 5. We welcome you to share your perspective on your child’s placement for the coming school year. In the space below, please communicate your child’s learning style along with his or her educational and social emotional needs. Please limit your comments to the type of classroom environment or teaching style that is most beneficial for your child. Please do not request a specific teacher by name but limit your comments to a description of your child’s academic and social-emotional needs.

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* 6. Parent Signature (Enter Name)

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