Student Information Survey
Thank you for taking the time to complete this form.  It will help us in being able to contact you this year as well as help us to get to know your student.  It only needs to be completed one time for the whole Sergeants' team of teachers to have access.
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Student FIRST Name *
Student LAST name *
Student's Homebase Teacher (check the schedule) *
Student Preferred Name to be called in class
Student date of birth *
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Student Address *
School Student Attended last year (please include city and state if outside of Cabarrus County) *
Parent/Guardian #1 Name *
Parent/Guardian #1 Address, if different than student
Parent/Guardian #1 preferred phone number *
Parent/Guardian #1 alternate phone number (if any)
Parent/Guardian #1 email address (we will use this address to send our team emails as well as make other contacts) *
Parent/Guardian #1 Employer
Parent/Guardian #2 Name
Parent/Guardian #2 address, if different than student
Parent/Guardian #2 preferred phone number
Parent/Guardian #2  alternate phone number (if any)
Parent/Guardian #2 email address (we will use this address to send our team emails as well as make other contacts)
Parent/Guardian #2 Employer
Student Lives with (please check the appropriate box)
Emergency Name(s)/phone numbers *
Please list any additional information you would like for us to know about your student, especially any allergies or medical concerns.
How did virtual learning go for your student in the spring and what concerns do you have for the start of school this year? *
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