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Student Information
Answer the questions in the form below.
* Indicates required question
Email
*
Your email
What is your LEGAL first name?
*
Your answer
What is your LEGAL last name?
*
Your answer
What name would you like me to call you in class? It doesn't have to be your legal name.
Your answer
What is your preferred pronoun?
*
She / her
He / him
They / Them
Other:
What grade are you in this year?
*
Freshman
Sophomore
Junior
Senior
How old are you (in years)?
*
15
16
17
18
19
Other:
What period do you have my class?
*
Choose
1
2
3
4
5
6
7
8
Do you have any health concerns? List any ALLERGIES or medical conditions that require special accommodations in class. If you don't have any, type "none".
*
Your answer
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