EdTech 521 Beg. of SY Interview Fall 2009

1. Beginning of School Year Interview
Elementary K-8
2009-2010
Student: ________________________________
Learning Coach:___________________________
Grade:__________________________________
Basic Information:
Address: ___________________________________________________________________
Contact Phone Number(s):_______________________________________________________
E-Mail Addresses:
Learning Coach:_________________________________________________________
Student (if applicable):___________________________________________________
Program Questions:
Is this your first year with the school? Yes No
If yes, how long have you been with us? _____________________
How did you learn about our program?
__________________________________________________________________________
__________________________________________________________________________
Did you receive all equipment and materials to start school? Yes No
If No, state reason or solution:
__________________________________________________________________________
__________________________________________________________________________

2. Are you new to online education? Yes No
If No, what is your online education history?
__________________________________________________________________________
__________________________________________________________________________
What attracted you to our program?
__________________________________________________________________________
__________________________________________________________________________
Do you have any initial questions about this program in general?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Previous Educational Experiences
If your child did not attend our school last year, what school or program did they attend?
__________________________________________________________________________
Was this school: public private charter independent home-school
Why did you choose to leave your previous school or program?
__________________________________________________________________________
__________________________________________________________________________
Homelife
Do you have a specific “school area” in your home? Yes No
Comments:__________________________________________________________________
__________________________________________________________________________
Does your computer meet the school minimum requirements for online educational needs?
Yes No
Comments:__________________________________________________________________
__________________________________________________________________________

3. Does your family’s daily routines allow for adequate school time to meet attendance requirements?
Yes No
Comments:__________________________________________________________________
__________________________________________________________________________
Are there significant distractions around the house? (other children, televisions, noises, animals,
etc.) Yes No
Explain:____________________________________________________________________
__________________________________________________________________________
About the Student (speak to student if possible)
What is your favorite subject in school, or do you have one? Why?
__________________________________________________________________________
__________________________________________________________________________
What are your favorite hobbies or activities?
__________________________________________________________________________
__________________________________________________________________________
Do you belong to any clubs, either in this school or outside of school? (Boy Scouts/Girl Scouts, swim
club, soccer club, etc.) Yes No
Clubs:______________________________________________________________________
__________________________________________________________________________
What is your favorite book?_____________________________________________________
What is your favorite movie?_____________________________________________________
What is your favorite game to play?_______________________________________________
Learning Coach Questions
Is this your first year as a learning coach? Yes No If No, how many years? _________
Do you have any previous teaching experience yourself? Yes No
Explain:____________________________________________________________________
__________________________________________________________________________

4. Do you require any special training on any aspect of the program? Yes No
Explain:____________________________________________________________________
__________________________________________________________________________
What are your goals for your child this year?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Have you been familiarized with the Learning Management System? Yes No
Do you have any questions regarding the LMS? Yes No
Comments:__________________________________________________________________
__________________________________________________________________________
Are there any other questions or concerns that you would like addressed? Yes No
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Interview Details:
Date of Interview:________________________________
Was the Learning Coach the interviewed? Yes No
If No, who?:_________________________________________________
Start Time:_____________________ End Time:____________________
Was the interview:
Positive Negative Rushed
One-sided Two-sided
General Feelings about the interview:
__________________________________________________________________________
__________________________________________________________________________