Special Needs Application

Parent's First Name 父母名字 *

Parent's Last Name 父母姓氏 *

Phone 電話 *

Do you attend church? 您本人有上教會嗎? *

Relationship 關係 *

First Name 名字 *

Last Name 姓氏 *

Date of Birth 出生日期 *

Gender 性別 *

School Grade *

Type of special need 特殊需要的類型 *

What assistance does your child receive at school? 您的孩子在學校接受什麼類型的特殊安排? *

How long has your child been attending church? 您的孩子上教會多久了? *

What goals do you have for your child at church? 對於孩子在教會的成長，你有什麼期盼? *

What is your child's favorite thing about church? 您的孩子在教會聚會中，最喜歡的是什麼? *

Tip: Please write "nothing" if your child hasn't attended a church.

Does your child talk or ask questions about God at home? 您的孩子在家中是否談論或詢問有關上帝的問題? *

What role do you play in your child's Christian education? 在您孩子的基督教教育中，你扮演什麼角色? *

What modifications might your child need during a children's church service? *

Favorite activities? 最喜歡的活動是? *

Communication style? 慣常的溝通方式? *

Allergies? 任何過敏? *

Activities your child dislikes? 最不喜歡的活動是? *

Behavioral signs/triggers? 行為特徵/觸發點? *

Seizures? 過往曾經歷癲癇發作? *

Additional comments 附加評論