Información de Estudiantes
Información de Estudiantes
Información de Estudiantes
Contact Information:
Name (full):
_____________________________________________________________________________
_____________
Cell Phone: (_________)________________________________
Birthday:_____________________________________
Email Address:
_____________________________________________________________________________
__________
Parent/Guardian Name:
____________________________________________________________________________
Relationship to you: __________________________ Home Phone:
(___________)_________________________
Email Address:
_____________________________________________________________________________
__________
Activities/Interests:
Do you have a job? ___________ Where? _________________________ How often?
______________________
What sports/activities do you participate in (or plan on participating in):
1. ____________________________________________________
2. ____________________________________________________
3. ____________________________________________________
4. ____________________________________________________
5. ____________________________________________________
Goals:
What do you want to be doing in 5 years?
_________________________________________________________
_____________________________________________________________________________
____________________________
10 years?
_____________________________________________________________________________
________________
30 years?
_____________________________________________________________________________
________________
Who is your role model and why?
__________________________________________________________________
_____________________________________________________________________________
____________________________
In my free time I like to:
_____________________________________________________________________________
_____________________________________________________________________________
____________________________
The grade I expect to earn in this class is ________________ because
_______________________________
_____________________________________________________________________________
____________________________
After high school, I want to:
_________________________________________________________________________
_____________________________________________________________________________
____________________________
Thank you for taking the time to complete this survey!
I look forward to getting to know you better this year and am excited to
have you in my class!
- Ms. Rosenberg