Early Education and Families Studies Sylvania Child Development Center Child and Family Information

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1 Early Education and Families Studies Sylvania Child Development Center Child and Family Information We see ourselves as partners with you in caring and educating your child. Sharing your knowledge of your child with us will give us guidance of your child s needs. The information you provide will help us in transitioning your family and your child into the program. That will help us create a classroom that supports your child by understanding their development. It will also help create a classroom that will be culturally appropriate and sensitive to all parents and children in the program. Please take the time to complete this form. Use additional paper to complete any of the questions we have not allowed enough space for on the form. If you need any assistance in completing it you can contact your child s teacher. Answer the questions that you feel apply to your child and family. Our goal is to make the transition into our child care center a positive one for you and your child. Name/Nickname Birth date Gender Please check the programs your child is enrolled in AM PM All day Evening Saturday Your Child At Home A. What is the most important thing you want us to know about your child? B. What are your family traditions, celebrations, and activities that you would like us to be aware of and support in the classrooms?

2 C. Child Language History Using an anti bias approach in our center involves learning about the languages spoken or introduced to children in the program. If your child uses sign language or other forms of communication please include that information. What languages does your child speak? Which language do you believe is your child s strongest? What languages do you use with your child? Is there one that you use most? What languages does your child hear from other family members? What languages does your child hear in the neighborhood? What languages would you like your child to speak? Adapted from Soy Bilingue. Sharon Cronin and Carmen Sosa Masso

3 Child Language History (Specific words and/or sentences) What words should we learn from your language that will help us to communicate with and comfort your child? (e.g. hello, goodbye, words used by you and your child regarding changing diapers, toileting, eating and sleeping.) Please put the words on the Child s Language Support Sheet below. You are welcome to add to this list as your child s language grows. Child s Name First Language Words Translation

4 D. Does your child or family have any favorite: Toys Blankets Clothes Sounds Music/Dances Movements Textures/Colors Books/Literature Games Please bring items and share with your teacher. Names of adults living with your child or with whom your child has a close connection Relationship to the Child Names of other children living with your child Sex Age Relationship to the Child or with whom your child has a close connection Child s Temperament and Behavior: If this is your child s first group experience: yes no if not please list others. Where the care was provided When How long? What is your child like most of the time? (Fussy, laid back, easily upset, demanding, easy going, very active, very quiet, etc.) Has your child demonstrated any particular fears? (people, places, activities or transitions) How can we best work with your child about these issues?

5 Does your child have a ritual or routine around saying goodbye? How does your child respond when you leave? How does your child let you know how she/he is? Tired Happy Sad Angry/mad Hungry Confused Excited Scared How does the child let you know that they want? How does your child like to be held, touched or soothed when upset? General Health Date of the Child s most recent physical examination? Does your child have any allergies or other health consideration we should be aware of? Are you currently concerned about any aspect of your child s development?

6 Diapering and/or Toileting Is your child in diapers Does s/he use the toilet Did you have any problems with toilet training? If so, what? How often and under what conditions does your child have accidents now? What is your child s ritual and routine around diapering and/or toileting? Is your child particularly sensitive to wet or soiled diapers or underwear? What are your preferences for diapering/toileting? (Cloth diapers, special wipes, a particular position, etc) How does your child respond to being changed by someone other than you? Sleeping Does your child sleep with you or alone? During the time your child will be in the classroom, when does s/he usually sleep? Please include day, evening, and Saturday times. What rituals and routines around sleeping have you and your child developed? Are there any things you want us to know about your child s sleeping habits, routines, etc?

7 Feeding/Eating How would you rate your child s appetite? Skimpy Moderate Hearty How does your child eat and how often? Please mark all that apply and times they usually eat from the following list: Breast Fingers Bottle Adult fed Cup Feeds Self Spoon Will a parent be coming to feed your child? How will you let us know that you are coming and when we should expect you? Food: what kinds of food is your child eating now? Milk: soy milk cow milk formula Any dietary restrictions? If so what? What favorite foods/ dishes does your child like to eat? Any there any foods your child especially dislikes? How does your child like to be fed? Does your child like to hold their bottle? Do you hold your child when feeding? Does your child like to sit in a high chair? Do you feed your child or does h/she feed themselves? Does your child use fingers, spoon, etc? Other

8 Parent and Teacher Planning What are the most important things you expect from us as care givers? What concerns do you have about leaving your child at the PCC Child Development Center? What objectives do you have for your child in the coming year? What would you like to share with the classroom? (Examples: where you work, on campus or off campus, a favorite snack, tradition, song, game, poem, celebration, grandparent, etc.) What would you like included in a classroom newsletter to parents? Would you like to receive your parent newsletter via e mail? If so, what is your e mail address? Would you be interested in serving on the Parent Advisory Committee for the Child Development Center?