Family Information Notebook (FIN) - Vanderbilt Kennedy Center
Family Information Notebook (FIN) - Vanderbilt Kennedy Center
Family Information Notebook (FIN) - Vanderbilt Kennedy Center
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
CHILD’S NAME: DATE OF BIRTH:<br />
38<br />
SCHOOLS ATTENDED<br />
This form will help you keep track of school information on your child each year. Begin with the first program your<br />
child attended and enter the new one each time your child changes schools or grades.<br />
Name of Program / School:<br />
Name of School District:<br />
City: State:<br />
Name of Teacher: Grade or Child’s Age:<br />
Check One: Fall Spring Summer Year:<br />
Other school services (e.g. occupational therapist (OT), physical therapist (PT), remedial reading,<br />
speech, etc.):<br />
Name of Teacher / Therapist: Type of Class / Frequency of Attendance<br />
Reason for leaving program / school:<br />
Name of Program / School:<br />
Name of School District:<br />
City: State:<br />
Name of Teacher: Grade or Child’s Age:<br />
Check One: Fall Spring Summer Year:<br />
Other school services (e.g. occupational therapist (OT), physical therapist (PT), remedial reading,<br />
speech, etc.):<br />
Name of Teacher / Therapist: Type of Class / Frequency of Attendance<br />
Reason for leaving program / school:<br />
Early Intervention Programs, Nursery Schools, Preschools,<br />
Day Care, Public Schools, Special Schools<br />
In-home Programs<br />
© Junior League <strong>Family</strong> Resource <strong>Center</strong> 2005