Name:  _________________________  	 Birthdate:  ___________________	_
Pre-school/Day Care: ________________________________________________
School for Kindergarten:   ____________________  Elementary	 
Completed by (parent / guardian): ________________________________________

Strengths / Celebrations and Interests:

	Needs / Challenges:	
Things to know:

	Learns Best When:

	

Please include your child’s voice. For example attach a photo or include a drawing.  OR feel free to use the following page as a spot to jot down your child’s thoughts.

All About Me 

By ______________________________	

Things that I really love: 

	Things that really bother me:

	
Things that help me be alert:

	
Things that help me be calm:

	

This is ME!  (Include drawing, photo etc)