PARENT QUESTIONNAIRE

As part of the Admissions process to become a member of our Brillantmont community, we kindly request that you take a few minutes to tell us about your child and any special strengths or needs he /she may have of which we should be aware. You may include as much detail as you feel is relevant.

Please complete this form and submit as soon as possible.

Student Last Name (s)*

Exactly as you wrote it in the Registration Form, already submitted
ex: Smith

Student First Name (s)*

Exactly as you wrote it in the Registration Form, already submitted
ex: Andrea

Please describe your child*

Should the school be aware of any factors that have had an impact on your child’s academic progress*

Yes

Should the school be aware of any factors that have had an impact on your child’s social progress?*

Yes

Should the school be aware of any special family circumstances?*

Yes

Has your child ever been asked to leave a school?
Please give details and please be aware that we will contact the school in question.*

Has your child ever had any problems making friends / connecting with others in a school?
Please give details and please be aware that we may contact the school in question.*

Has your child ever had issues with alcohol, drugs or other substances? If so, please give details.*

In the past, has your child ever received professional support for psychological problems? If so, please give details.*

Is your child currently experiencing any mental health issues and / or seeing a psychologist and /or taking any medication related to a mental health issue. If so, please give details.*

Does your child have any special educational needs (for example attention deficit/ dyslexia etc.)?
If yes, please enclose relevant information - copies of psychological assessments, diagnostic test results and any adaptations undertaken by the current school.
Please note that the school does not have a Special Needs / Learning Support department and may choose not to accept a student whose needs we cannot meet.*

Yes

Does your child have any special talents / interests that we should be aware of? Has your child followed any accelerated courses, been recognised as “highly able”, etc?*

Yes

Are there any medical difficulties that may affect your child's educational performance?*

Yes

Which languages do you speak at home? 1*

Which languages do you speak at home? 2

Parent or legal guardian details

Last Name*

ex: Smith

First name*

ex: Andrea

Email*

Comments

I confirm that I have shared full and accurate information about my child, as requested in the various admissions documents. I understand that failure to share information may result in the school no longer being able to accept him/her. I understand that total transparency is essential to building a relationship based on trust and confidence.