From: ______________________________ Date:____________________________
Dear Advisor:
I have concerns about
_____________________Õs progress in my class, specifically
(studentÕs name)
______________________________________________________________________________.
(describe concerns)
I need his/her input
to help me understand him/her better and make a plan. Please gather the following information and return the form
to me by _______________. Thank
you.
(date)
----------------------------------------------------------------------------------------------------------------------------------------------
Guidelines
for Gathering Student Input
(To be used during conversation/interview with student)
Student ____________________________ Grade ______________ Date
__________________
1.
IÕm concerned that you are having some
difficulty at school and IÕd like to talk with you about it and get your
input. Explain/describe
the concerns.
2.
How do you feel about school this year?
3.
Is there anything going on in your life
that might be contributing to what is going on at school?
4.
Have you had similar problems before in
school? If so, what did
you and your teacher(s) try? How
did it work?
5.
What do you think might help you in school?
6.
Is there any adult in school whom you
feel connected to?
7.
I may share this with the school Educational
Support Team, also known as EST. It is a group of school staff members
who gather and share ideas about how to help students succeed. If EST decides to hold a meeting, would
you like to participate? Would
you like anyone else (family member, teacher, other) to participate? The meeting will likely take place on a Monday from
3 to 4 pm.
8. Is there anything else you can share with me that might help me (us) to help you?
|
|---|