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Holy Angels School
Kindergarten Online Application Survey
(Parents of kindergarten applicants must complete the
online application form
and this survey.)
Dear Parent,
Please take the time to fill out the following survey. I realize some of the questions are on the application form, but those remain in the cumulative files in the office and this survey will remain with me. There are no right or wrong answers and this survey will in no way determine acceptance into the program. It will help me know your child better and assist me with the interview process. Thank you for your time and help.
Sincerely,
Kindergarten Teacher
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Indicates required field
Child's Name
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First
Last
Child's Birthdate (mm/dd/yyyy)
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Choose One
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Female
Male
Address
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Line 1
Line 2
City
State
Zip Code
Country
Father's (or Guardian 1) Name
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First
Last
Mother's (or Guardian 2) Name
*
First
Last
Father's (or Guardian 1) Occupation
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Father (Guardian 1) Phone Number (xxx-xxx-xxxx)
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Mother's (or Guardian 2) Occupation
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Mother (Guardian 2) Phone Number (xxx-xxx-xxxx)
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Number of Brothers
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Ages
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Number of Sisters
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Ages
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Other family members that child lives with
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Primary language spoken at home by adults
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Primary language spoken at home by child
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Other languages spoken
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My child spends the most number of waking hours each day with (name)
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This person's primary language is
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My child will go home from school with
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My child is allergic to
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Health problems to be aware of
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My child's favorite toy is
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My child used crayons since age
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pencils since age
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clay since age
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paint since age
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glue since age
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scissors since age
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Places of interest my child has been to:
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Zoo
Discovery Museum
Snow
Great America
Pier 39
Aquarium
Beach
Plays
Marine World
Japanese Tea Garden
Camping
Ballets
Fisherman's Wharf
Other places of interest
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My child is read to
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every day
5-6 times a week
3-4 times a week
1-2 times a week
once in a while
not at all
The person who reads to my child is
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Lessons my child has taken or has taken
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ballet
tap
art
piano
swimming
gymnastics
karate
Other classes my child has taken
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Approximate number of hours your child watches TV each day
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Your child's favorite TV show
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Approximate number of hours your child uses a computer or laptop, iPad or any tablet, smartphone each day
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What does your child do when using an tablets, laptops or smartphone (playing games, watching videos, etc.)
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My child takes naps
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Yes
No
My child's normal bedtime is
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Pets at home
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Name of preschool attending
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How long?
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Name of person completing this survey
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Relationship to child
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Submit
