Gather key student details at the start of a term, including emergency contacts and medical info.
Purpose: This document is used to collect essential student information at the beginning of the academic term, including contact details, educational background, emergency contact info, and medical details. This helps ensure proper support and communication throughout the school year.
First Name | Last Name | Date of Birth | Gender |
---|---|---|---|
{firstName} | {lastName} | {dateOfBirth} | {gender} |
Address | City | Postal Code | Phone Number | |
---|---|---|---|---|
{address} | {city} | {postalCode} | {phoneNumber} | {email} |
Previous School Attended: {previousSchool}
Grade Level Entering: {gradeLevel}
Student ID (if available): {studentId}
Name | Relationship | Phone Number | |
---|---|---|---|
{#emergencyContacts}{name} | {relationship} | {phone} | {email}{/emergencyContacts} |
Allergies: {allergies}
Medications: {medications}
Primary Physician: {primaryPhysician}
Insurance Provider: {insuranceProvider}
{#hasSpecialNeeds}
Description: {specialNeedsDescription}
{/hasSpecialNeeds}
Name | Relationship | Phone | |
---|---|---|---|
{#parents}{name} | {relationship} | {phone} | {email}{/parents} |
{additionalNotes}
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