Returning Madrichim Placement Form

Information About You

Pronouns*

T-Shirt Size*

Upcoming School Year Grade*

Communication

Our primary mode of communication will be text message. If we send an email, we will text you to alert you that it’s in your inbox. If you have a cell phone, texts will be sent directly to you; if you do not, they will be sent to a parent to share with you. If you have a cell phone, but have limited access to your cell phone – ie, can only use certain times of day, week, or year, OR if in your household you may ‘lose privileges’ to use it from time to time – please make the office aware.

Cell Phone*

Emergency Contact

Emergency Contact Name:*

Emergency Contact Cell Phone:*

Emergency Contact Email:

Assignment Preferences

With which teachers and grade levels have you worked in the past?*

If no, please explain:

If you have siblings in JSchool, please list their names and grades for this upcoming school year:

Would you like to keep the same TEACHER next year (if applicable), or would you like to change? Please explain.*

Would you like to keep the same GRADE LEVEL next year (if applicable), or would you like to change? Please explain.*

Describe your ideal classroom situation. Include the teacher’s teaching style, how you are involved in the classroom, what types of activities take place, etc.*

Is there anything else we should consider when assigning your placement for next year?*

Returning Madrichim Placement Form

Information About You

Communication

Emergency Contact

Assignment Preferences

In This Section