Dear Parent or Guardian,
Getting ready for school and learning to read and write begins early in your child's development, well before kindergarten or first grade. The love and guidance that you provide your child can set him or her on the way to many years of success in school.
This page guides you through the process of sharing what you know about your child with the kindergarten teacher who will be working with your child in the new school year. It gives you the opportunity to pass on important information about your child's likes and dislikes, strengths and weaknesses and any concerns that you may have. If your child is receiving any special services, the information that you provide here can help to ensure that those services continue without gaps into the new school year.
This page will work best if you review and discuss it with your child's kindergarten teacher during the first month of school. Taking the time to connect with your child's teacher will get the new school year off to a terrific start!
Transitioning to Kindergarten
Child's Name ________________________________________________________________________________________
Basic Information
Name(s) of Person(s) completing this form: _________________________________________________________________
Date: _______________________________________________________________________________________________
School: _____________________________________________________________________________________________
Child likes to be called: _________________________________________________________________________________
Child's date of birth: ____________________________________________________________________________________
Mother's name: _______________________________________________________________________________________
Father's name: _______________________________________________________________________________________
Other adult(s) living in the home: __________________________________________________________________________
Address: ____________________________________________________________________________________________
Phone(s): ___________________________________________________________________________________________
Best time to reach us: __________________________________________________________________________________
About My Child
My child's favorite things:
favorite color _________________________________________________________________________________________
favorite food __________________________________________________________________________________________
favorite book _________________________________________________________________________________________
favorite toy ___________________________________________________________________________________________
favorite expression ____________________________________________________________________________________
other favorites: ________________________________________________________________________________________
My child is good at:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
My child likes to (check all that apply):
Listen to stories _________________
Draw and color __________________
Play alone ______________________
Play with other children ____________
Play outside ____________________
Play quiet games inside ___________
Go to a friend's house _____________
My child doesn't like to:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
I'd like you to know this about my child:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
My child learns best by:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
About My Child's Early Learning Experiences at Age 4:
If your child is not enrolled in any program, check here______
My child has been enrolled in (name of preschool or program) _____________________________ from (date) _____________
to (date) ___________________.
This is a (check one):
Child Care Center ________________________________
Family Child Care Home ___________________________
Parents as Teachers program _______________________
Other __________________________________________
For more information about this program, contact:
Name: ______________________________________________________________________________________________
Phone: ______________________________________________________________________________________________
About Our Family:
We speak the following languages in our home: ______________________________________________________________
Most of the time, I speak (write in language) ________________________________________________________ to my child.
Most of the time, my child speaks (write in language) ____________________________________________________ to me.
Some things I'd like you to know about my family (culture, activities that the family enjoys doing together, other):
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
There are ____________ children in the home. Their ages are:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
The best times for me to come to the school are:
____________________________________________________________________________________________________
My family would like to share the following skills or activities with our child's class or school:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Screenings and Special Services:
My child had a hearing screening on (date) _____________ at (location) _____________.
Results:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
My child had a vision screening on (date) _____________ at (location) _____________.
Results:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
My child had other screenings: Speech: date___________location_______
Results:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Other (please describe):
My child receives these supports and special services: If your child does not receive any special services, check here: ___
Type of Service received last year receives this year amount of time per week should receive in kindergarten Occupational Therapy (OT)
Physical Therapy (PT)
Speech and Language (S/L)
Social Worker
Other (Please describe):
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
I would like you to observe my child because I am concerned about the following:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Thank you for getting to know my child!
We want to work with you to ensure a successful kindergarten year!
____________________________________________________________________________________________________
Signature Date
____________________________________________________________________________________________________
Signature Date
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