SAResources Template

Children’s Information Form
Please be as COMPLETE and SPECIFIC as possible. This information is pertinent to preparing the best STAS program for your children.

*Required Fields
Date of Conference Attending:

Conferences:	Stateside Assignment Conference
	ISC Debriefing

Child’s name:
Parent’s name:
Date of Birth:
Age:
School Grade:
Country:
Date of US Arrival:
Date of Departure to Field:
Stateside Address:
City, State and Zip:
Stateside Phone No. :
*E-mail:
*Allergies/Medical Needs: Be complete and specific.

What are your plans between arrival and the conference?


What do you consider to be your child’s strengths and weaknesses?


How does your child feel about re-entry into the US?


Please describe your child’s educational history. If homeschooling, please list curriculum(s) used. Also, include any special needs or learning difficulties this child has. Please bring copies of all evaluation reports with you to the STAS conference.


What type of schooling will you be doing while stateside?


Has your child made a profession of faith?


Comment on your child’s spiritual maturity:


Please include any other information you feel would be helpful for us to know in working with your child (any traumatic or unusual experiences that have happened during this term).


Will your child need a crib or bedrails while at the conference ?
Yes No
If yes, indicate which is needed:


Please describe some things that comfort your infant/toddler when you are away, including important daily routines and favorite snacks.



A registration confirmation page will appear following submission of form. This will be the only confirmation you will receive. If page does not appear, please e-mail Elaine Troy(etroy@worldimail.com) to verify status. Please remember to submit travel and children's forms three months in advance of your scheduled conference. Thank you!