Classroom Placement Parent Input Form

Hayfield Community Schools
9
Sixth Avenue SE, Hayfield, MN 55940
http://www.hayfield.k12.mn.us
Mission: To provide a safe learning environment that challenges, inspires, and prepares students for life
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March, 2015
Dear Parents/Guardians:
Attached to this letter is the Parent Input for Placement/Student Information form. You have the option of
completing this form in regards to your child’s classroom placement for the following school year, 2015-2016.
The following criteria are considered when placing your child to the next grade level:
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Gender balance
Balance of performance levels
Balance of students with special programming (Special Services, ELL, Title I, etc.)
Family factors
Balance of high behavioral needs
Balance of varying social skill and work habit levels
Equitable class size across grade level
Equitable access to school resources for programming needs.
Please do not request placement with a specific teacher or another student as
this restricts our ability to provide the best educational setting for all students.
Please complete the attached form and return it to your elementary office by May 1, 2015.
Classroom assignments will be completed in the summer. Parents and students will receive a letter with their
child’s assigned teacher for the 2015-2016 school year sometime in August.
Sincerely,
Mrs. Annette K. Freiheit
Annette K. Freiheit
Hayfield & Brownsdale Elementary School
Principal
Hayfield High School: 507-477-3235 Fax 477-3230
Hayfield Elementary: 507-477-3236 Fax 477-3204
Brownsdale Elementary: 507-567-2244 Fax 567-2432
Belinda Selfors, Superintendent x225
John Howe, High School Principal x224
Annette Freiheit, Hayfield Elementary Principal x279
Annette Freiheit, Brownsdale Elementary Principal x222
Home of Viking Pride!
______________Date Received
HAYFIELD AND BROWNSDALE ELEMENTARY SCHOOL
PLACEMENT CONSIDERATION FORM
FOR SCHOOL YEAR 2015-2016
Student Name _________________________________________________ Date ___________________
Present Teacher _____________________________________________ Grade next year ____________
Please do not request placement with a specific teacher or another student as
this restricts our ability to provide the best educational setting for all students.
1. My child’s educational needs are:
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2. My child’s emotional needs are:
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3. My child’s social needs are:
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4. Please describe any special considerations you have concerning your child. Special considerations may
include special family situations, emotional needs, educational needs, etc.
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Thank you for this information on your child. All special considerations will be thoroughly reviewed. Due to
the nature of this process there is NO GUARANTEE of special placement of your child. This form must be
received in the principal’s office no later than May 1, 2015.
Parent/Guardian Signature _______________________________________________________________