Applicationform

Personal information

name

first name

date of birth

adress, postal code + city

telephone number

school

adress, postal code+city

telephone number

group, class or grade

teacher/tutor

family composition

reason of application

question to be answered

are there any particulars as regards pregnancy and/or birth?

what was your child's motor development like? (sitting, crouching, standing, walking)

what was its language development like? when did he/she start talking?

what was the physical development like?

has your child suffered from serious illnesses?

does your child sleep well?

is your child lively and boisterous?

can or could your child play well?

what does your child like to play with?

which hobbies does your child have?

do reading, language and/or aritmic problems occur in the family?

what is the relationship with brothers and/or sisters like?

did your child visit nursery school?

was anything special noticed when at nursery school?

was your child aripe for school when going to group 3 (class 1)?

have there been any problem when going to secondary school?

has he/she ever repeated a class?

when did the problems first become apparent?

has there been additional tuition at home or at school?

in which group/class? how often and by whom?

what are the strong features in learning and in character?

how is his/her attitude to school work?

how is the relationship with the teachers and the other pupils?

does your child show conspicious behaviour at home or at school?

has your child been examined or tested before? If yes by whom and what was the reason? what was the date of the examination?

more additional information