Student information sheet template
A beginning-of-year student information sheet: parents or guardians, phones and emails, pickup authorization, allergies and medical notes, and anything the teacher should know.
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Fill in what you need. The preview updates as you type.
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Ask for what the classroom needs
The form leaves out the full date of birth, home address and Social Security number on purpose: the school office already has them and a one-page sheet in a teacher's binder is not the place. Keep the returned forms in a closed folder and shred them at the end of the year.
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Student Information Sheet
| Student name | Jordan Alexander Lee | Preferred name | Jordan |
|---|---|---|---|
| Grade and teacher | Grade 3, Ms. Kim, Room 12 | Birthday (month and day) | March 14 |
| Parent or guardian 1 | Casey Lee | Relationship | Mother |
| Phone | (555) 010-0101 | casey.lee@example.com | |
| Lives with student | โ Yesย ย โก No | ||
| Parent or guardian 2 | Sam Lee | Relationship | Father |
| Phone | (555) 010-0102 | sam.lee@example.com | |
| Lives with student | โ Yesย ย โก No | ||
| Emergency contact 1 | Name: Morgan Nguyen Relationship: Aunt Phone: (555) 010-0103 | ||
| Emergency contact 2 | Name: Riley Chen Relationship: Family friend Phone: (555) 010-0104 | ||
| Authorized to pick up | 1. Casey Lee 2. Sam Lee 3. Morgan Nguyen | ||
| Allergies and medical notes | Peanut allergy. EpiPen is in the nurse's office. No other medications. | ||
| How the student gets home | โก Busย ย โ Carย ย โก Walk or bikeย ย โก After-school programย ย โก Other | ||
| Languages spoken at home | English and Korean | ||
| Anything the teacher should know | Jordan is shy the first few weeks and warms up fast once he has a job to do. He wears glasses for reading and sometimes forgets them in his backpack. Loves dinosaurs and soccer. | ||
Parent or guardian signature: ______________________ Date: ____________ | |||
How to use it
Most teachers print this blank and send it home on the first day, so you can leave the fields empty and print; every cell gets lines to write on. If you are a parent filling it in for your child, type the answers and the sheet prints ready to sign. Parents or guardians take one line each with name, relationship, phone, email and whether the student lives with them; emergency contacts take name, relationship and phone.
The pickup list, the medical notes and the "anything the teacher should know" box are the three cells teachers read first, so give them the most room. The signature line at the bottom confirms the information is current.
Things to watch
Keep the returned sheets in a folder you can grab on the way out during a fire drill: the emergency contacts and pickup names are what you need when a parent cannot be reached. Once the sheets are in, copy the names and phone numbers into the class roster template so the information is also in a file you can sort and print.
Calculators that go with this
Frequently asked questions
Why month and day only for the birthday?
The class needs the day to celebrate; the year is identifying information the school office already has. A name, a full birth date and a parent's phone on one sheet is more than a classroom form should carry.
Where does the home address go?
Nowhere on this sheet. The office keeps the address in the student information system. If your school wants it on the classroom form, download the DOCX and add a row.
Can I collect it online instead?
You can type the questions into a form tool, but many families still prefer paper on day one. Paper also avoids storing health notes in a third-party account; check your district's rules before you put medical information in an online form.
Is what I type saved anywhere?
No. Everything stays in your browser and nothing is sent to our server. If you refresh the page it is gone, so print, save a PDF or download the DOCX when you are done.