Student/Parent Information Form
Please fill everything out to the best of your ability. This information will help me provide you with the best education possible this year. Thanks and let's have a great year!!
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Student's First Name (that you would like to be called) *
Student's Last Name *
What period do you have me? *
What grade are you in? *
Are you involved in after school activities? Please describe any commitments you have after school such as work, sports, band/choir, FFA, family care, etc. *
Tell me something outside of school that you are interested in (school appropriate answers, please). *
Mother's Full Name * *
A female guardian that you live with. Put the relationship in parentheses if it is not your biological mother. Put NA if none.
Mother's email address *
if you do not know it, text them and find out. If she does not have one, put NA
What is your mother's phone number? *
Best contact number for mother. Put NA she does not have one
What is the best way to contact your mom? *
Do not worry--I contact for positive things (and negative if I have to)
Father's Full Name *
A male guardian that you live with. Put the relationship in parentheses if it is not your biological mother. Put NA if none.
What is your father's phone number? *
Best contact number for father. Put NA he does not have one
Father's email address *
if you do not know it, text them and find out. If she does not have one, put NA
What is the best way to contact your dad? *
Do not worry--I contact for positive things (and negative if I have to)
What language is spoken at home by your parent/guardian? *
Please check all that apply
Required
Is there anything else I should know about you or your home life? *
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