Client School Inquiry Please complete within 5 days of receipt.InfoChild's Name(Required) Grade Level(Required)2nd3rd4th5th6th7th8th9th10th11thSchool Name(Required) Name of Individual Completing this Report(Required) Your Relationship to the Student(Required) Length of time the student has known you:(Required)0-6 months6-11 months1 year2 years3+ yearsYour Email You'll be sent a copy of your answers to this form for your records.General BehaviorPlease include comments on positive and/or negative behaviors and attitudes observed in the school setting.(Required)How does the child relate to peers/staff/persons in positions of authority?(Required)Specific Areas of Success or ConcernHow does the child adjust to school routine, frustrations with subject matter, etc.?(Required)How is the child's attendance record?(Required)Are there any concerns about the child's family life that affects them negatively at school?(Required)School Performance: Please select how you would rate the child based on the categories below.School Behavior:(Required) Below Average Average Above Average Parental Involvement:(Required) Below Average Average Above Average Academic Performance:(Required) Below Average Average Above Average Complete Homework:(Required) Below Average Average Above Average Attitude Toward School:(Required) Below Average Average Above Average List academic areas accordingly:Strengths:(Required)Struggles:(Required)Additional CommentsPlease share additional insight, comments or concerns that would be helpful for BBBS staff and the child's future Big.(Required)Digital SignatureAuthorized Digital Signature(Required) Please type your first and last name as your digital signature in the box above.
