Información de Estudiantes

Contact Information:
Name (full):
_____________________________________________________________________________
_____________
Cell Phone: (_________)________________________________
Birthday:_____________________________________
Email Address:
_____________________________________________________________________________
__________

Parent/Guardian Name:
____________________________________________________________________________
Relationship to you: __________________________ Home Phone:
(___________)_________________________
Email Address:
_____________________________________________________________________________
__________

Name of another important adult:

_________________________________________________________________
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. ____________________________________________________

What is your favorite subject in school?

__________________________________________
Why?
_____________________________________________________________________________
_____________________
_____________________________________________________________________________
____________________________
Describe three qualities of the teacher you have liked the most:
1. _______________________________________________________________________
__________________________
2. _______________________________________________________________________
__________________________
3. _______________________________________________________________________
__________________________
Describe three qualities of the teacher who has taught you the most:
1. _______________________________________________________________________
__________________________
2. _______________________________________________________________________
__________________________
3. _______________________________________________________________________
__________________________
What is one thing every teacher should know about you?
_______________________________________
_____________________________________________________________________________
____________________________
What is your favorite…
Movie?
_____________________________________________________________________________
___________________
Musician?
_____________________________________________________________________________
________________
Song?
_____________________________________________________________________________
____________________
TV Show?
_____________________________________________________________________________
________________
Book?
_____________________________________________________________________________
____________________
Sports Team?
_____________________________________________________________________________
___________

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