2021 Fall Early Childhood/Kindergarten New Student Questionnaire (1) 2021 Early Childhood/Kindergarten New Student Questionnaire In preparation for your child's first day of school, we would like to learn a little bit more about your child. Please complete and submit this form so we can better serve your child and your family. You can also upload any school/daycare progress reports or developmental assessments. Thank you for selecting Bellevue Montessori School for your child's education. Parent Name* First Last Parent #2 Name First Last Child's Name* First Last Child's Date of Birth Date Format: MM slash DD slash YYYY What are the first few words that come to mind when describing your child?What do you enjoy most about your child? What makes your child special?Is there anything else you would like to tell your child’s new teacher about your child or family?Does your child have any siblings? If so, please give names and ages.Are there any other significant family members in your household?Please describe a typical weekday schedule in your home.Please describe a typical weekend day schedule in your home.Does your child speak English? What languages are spoken in the home?When did your child first talk? Can they express their needs and wants in the family language?Have you ever had a concern about language development? yes no If yes, please elaborate?What holidays, if any, does your family celebrate (please list)Would you be willing to share your family culture with the class? yes no maybe Demographic Information - Please select for your child* African African American Asian Asian American Australian or New Zealander Causasian European Hispanic or Latinx Middle Eastern Multi-racial Native American Pacific Islander Multi-racial unsure/not represented prefer not to answer Bellevue Montessori School has a wonderfully diverse student body and teaching staff. As part of our American Montessori Society re-accreditation, we are required to submit demographic information about our community. It would be greatly appreciated if you could fill out this information about your family.Is this your child's first daycare or school experience?*yesnoIf yes, where did your child previously attend and what was your experience?Has your child ever been recommended or sent for an assessment? (speech language,fine motor, gross motor, behavior) ? yes no If yes, please elaborate on the type of assessment recommended.Please upload any progress reports or assessments you have received for your child.If no, has your child participated in any social or group setting such as library, parent & child classes, little gym, etc? If so, describe your child's participation with other children during these activities?What are your child's favorite activities?Does your child nap?* Yes, my child regularly naps My child will still need a nap on occasion No, my child doesn't nap Are you expecting your child to nap at school?* yes no on occasion If your child still naps, please describe the time your child naps, how long, and if your child needs adult assistance to help them go to sleep.As a family how do you discipline your child?Does your child dress and toilet independently? If not, what assistance would your child need? (please note, your child must be independently using the bathroom as part of enrollment at Bellevue Montessori School).Does your child eat independently?What dietary restrictions does your child and family have? Write "none" if none.*When upset, how is your child best comforted and soothed?Was your child adopted? Would you be willing to share your adoption story?Did your child have a normal birthing experience (any complications)? Yes No Was your child more than 3 weeks premature? yes no If yes, please elaborate.Does your child enjoy physical activity? Yes No At what age did your child learn to walk?Do you have any special concerns or issues to which you would like to draw our attention?