JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2021 Student Information Sheet
This information sheet is for Mr. Carrier at Riverdale High School. Please answer each question to the best of your ability.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student FIRST Name
*
Your answer
Student LAST Name
*
Your answer
Primary Guardian's FULL Name
*
Your answer
Secondary Guardian's FULL Name (if applicable)
Your answer
Primary Guardian's Relationship to Student
*
Your answer
Secondary Guardian's Relationship to Student
Your answer
Complete Mailing Address (street number, street name, city, and zip code)
*
Your answer
Primary Contact's Phone Number
*
Your answer
Secondary Contact's Phone Number
Your answer
Primary Contact's Email Address
*
Your answer
Secondary Contact's Email Address
Your answer
What period do you have my class?
*
1st Period
2nd Period
4th Period
5th Period
6th Period
7th Period
Were you a distance or in-person learner last year?
Distance
In-person
Clear selection
Do you have access to the internet at home?
*
YES
NO
At times
What after school activities are you involved in at school and in your community?
Your answer
Do you have a job? If so, where do you work?
Your answer
If there is any information that you feel I should know about you (e.g. health issues, home life, special needs), please use this space to inform me.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
