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Student Info Sheet
Please fill out the following questionnaire so I can get to know you.
* Indicates required question
Email
*
Your email
General Info
Given First Name
*
Your answer
Preferred First Name
*
Your answer
Last Name
*
Your answer
Preferred Pronoun (For ex: I prefer He, Him, His)
*
Your answer
Current Math Class
*
Choose
Accelerated Pre-Calculus
Accelerated Algebra 1
Grade Level for the 19/20 School Year
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9th Grade
10th Grade
11th Grade
12th Grade
Period
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1
2
3
4
5
6
7
8
N/A
Text Book # (if applicable)
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Current Town
*
Your answer
Email Address (That you check regularly)
*
Your answer
Parent/Guardian 1 Full Name
*
Your answer
Email Address to Reach Parent/Guardian 1
*
Your answer
Phone Number to Reach Parent/Guardian 1
*
Your answer
Parent/Guardian 2 Full Name
Your answer
Email Address to Reach Parent/Guardian 2
Your answer
Phone Number to Reach Parent/Guardian 2
Your answer
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