Parent Teacher Conference Form Primary

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Parent Teacher Conference Form Primary

  1. 1. Peek A Boo & Vision School PRIMARY PARENT-TEACHER CONFERENCE FORM (NOTE TO PARENTS: Please take time to fill-up this form completely. This form is essential basis for the teachers to decide how to treat your kids at best. All information given will be strictly confidential) (CATATAN UNTUK WALI MURID: Silakan mengisi formulir ini dengan lengkap. Formulir ini menjadi landasan penting bagaimana guru bisa melayani anak Anda dengan baik. Semua informasi yang diberikan akan sangat dirahasiakan) Child’s Name _______________________________________________ Level___________________ Nama Anak Kelas Date of birth _______________________________ Age ____________ Blood type _____________ (month-day-year) Tanggal lahir (bulan-tanggal-tahun) Usia Golongan Darah Birth order: a.only child b. eldest c. youngest d. others (2nd , 3rd etc.) Posisi anak anak tunggal anak tertua anak termuda lain-lain (anak ke-2, ke-3, dll) dalam keluarga Brothers/sisters studying at Peek A Boo & Vision School Saudara kandung yang bersekolah di Peek A Boo & Vision School Name Level Nama Kelas _____________________________________ ____________________________ _____________________________________ ____________________________ _____________________________________ ____________________________ Siblings: a. brother b. sister Saudara saudara saudara laki-laki perempuan Father: ______________________________ Age __________ Ayah Usia Marital Status a. Married b. Separate c.Divorced d. Single Parent Status Perkawinan Menikah Pisah Ranjang Cerai Orang Tua Tunggal Occupation ___________________________ Contact Number ______________________ Pekerjaan Nomor kontak Business Address ________________________________________________________________ Alamat bisnis Email Address: _________________________________________________________________ Alamat surel (e-mail) Mother: ______________________________ Age __________ Ibu Usia
  2. 2. Marital Status a. Married b. Separate c.Divorced d. Single Parent Status Perkawinan Menikah Pisah Ranjang Cerai Orang Tua Tunggal Occupation ___________________________ Contact Number ______________________ Pekerjaan Nomor kontak Business Address ________________________________________________________________ Alamat bisnis Email Address: _________________________________________________________________ Alamat surel (e-mail) Questions: (Primary) 1) How many hours do you spend time with your child? Berapa jam Anda menghabiskan waktu dengan anak Anda? On weekdays ____________ hours On weekends _____________ hours Hari biasa jam Akhir pekan jam 2) Who takes care of your child while you are at work? __________________________________ Siapa yang mengasuh/menjaga anak Anda ketika Anda bekerja? 3) Other people living with you in the house and their relationship to your child Orang lain di rumah Anda dan hubungan mereka dengan anak Anda Other descriptions you can add 4) Who disciplines your child? __________________________________ Siapa yang mendisiplinkan anak Anda? 5) How do you discipline your child? __________________________________________________ Bagaimana Anda mendisiplinkan anak Anda? 6) Describe your child Gambarkan anak Anda A. Socially Secara social  a. Sociable b. Plays alone c. Observes before mixing with others Mudah bergaul Penyendiri Mengamati dulu sebelum bergabung
  3. 3. Other descriptions you can add Emotionally: Secara emosional  a. happy child b. moody c. easily upset d. quiet anak yang bahagia mudah berubah mudah marah Pendiam suasana hati Intellectually: Secara intelektual a. curious b. observant c. Inquisitive d. Explores his environment Suka ingin tahu Pengamat Suka bertanya Suka mengeksplorasi lingkungannya Physically: Secara fisik a. generally healthy b. sickly ______ secara umum sehat mudah sakit Other descriptions you can add 7) What are your child’s strengths and weaknesses? Apa kelebihan dan kelemahan anak Anda? Strengths ________________________________________________________________________ Kelebihan _________________________________________________________________________________ Weaknesses ______________________________________________________________________ Kelemahan _________________________________________________________________________________
  4. 4. 8) Bagaimana kemandirian anak Anda? a. Makan  Disuapi  Mandiri b. Mandi  Dimandikan  Mandiri c. Membersihkan diri pasca toiletry  Harus dibantu  Mandiri d. Belajar  Harus diingatkan  Inisiatif sendiri 9) What skills and attitudes would you like your child to develop? Ketrampilan dan sikap apa yang Anda ingin kembangkan dari anak? Other descriptions you can add 10) Kegiatan luar sekolah yang anak Anda ikuti:  Kursus : _________________________________ (boleh lebih dari satu) (Courses) (can be more than one choice) Alasan mengikutkan anak (Reasons you send your kid into)______________________________ ________________________________________________________________________________  Lainnya (misal terapi ABK): __________________________________ (Others, such as Special Needs therapy) Status: Masih mengikuti / Sudah tidak mengikuti, karena_________________ (Pilih salah satu. Untuk (Still joining / Not joining anymore, because…) (Choose one. For the yang sudah tidak mengikuti isi alasannya) not joining ones, please state the reasons 11) Educational resources available at home Sumber belajar yang tersedia di rumah Other descriptions you can add
  5. 5. 12) Allergies/Operations Undergone/Diagnosed Medical Condition (if any) Alergi/Operasi yang pernah dialami/Kondisi Medis (kalau ada) Other descriptions you can add ____________________________ Parent’s printed name and signature Nama dan tanda tangan Wali Murid

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