Teacher-Student Conferencing Form

POI CHING SCHOOL Teacher-Student Conferencing Form
Details of Student Name of Student: _________________________ (      )     Class: ________________
Dates of Conversation:
Conducted by:
1. Information on the Student Ø  What are the student’s interests and hobbies? Ø  What are the student’s goals? ·         Short-term – academic, CCA, interests, relationships, personal matters ·         Long-term – career, ambitions, relationships, personal matters Ø  What opportunities does the student wish for to help him/her achieve his goals? Ø  How does the student feel about himself/herself in the following areas: ·         Strengths and Weaknesses ·         Appearance                                                                   ·         Ability to relate to others Ø  What kind of support or help does the student require in response to the needs shared?
2. Student’s Family Ø  Who does the student live with? Ø  What is the student’s relationship with the family (i.e. parents / guardians / siblings / caretakers)? Ø  To whom does the student confide the most in? Ø  Are there any problems that the student faces? If any, what are they e.g. divorced parents, interaction with parents, parental expectations, and financial status of family? Ø  How does the student feel about his/her difficulties? What are his/her coping strategies? Ø  What kind of support or help does the student need?
3. Student’s School Life Ø  How does the student feel about school (i.e. studies, CCA, classmates, teachers)? Ø  What are some struggles or challenges that the student faces in school e.g. stress related to academic expectations, difficulty in communicating with CCA schoolmates? Ø  What are the student’s coping strategies? What kind of support or help does the student need?
4. Student’s Social Circle Ø  Who are the people in the student’s social circle? Ø  How does the student describe the extent of his/her relationship with them? E.g. acquaintances, close friends who study together on weekends. Ø  Does the student face any relationship problems? If any, what are they? Ø  What are the student’s coping strategies? What kind of support or help does the student need?
5. Other Concerns Ø  What are some other concerns and fears that the student has? Ø  What kind of support or help does the student need?
6. Teachers’ Records (Attach Supporting Documents, if any) Ø  What advice was given to the student during the teacher-student conference? Ø  What were some other needs/issues/concerns that the teacher had observed about the student but were not surfaced during the conversation? Ø  What are the follow-up actions that have been taken? What else needs to be done?
What are the Issues/Concerns?		What are the Actions Taken?		When were they taken?		By Whom?		What are the Follow-up Actions?