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Student Demographics
Please answer the following questions providing me with demographic information about yourself.
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Preferred name
*
Your answer
Your email address
*
Provide an email address that you check regularly, either school or personal.
Your answer
Parent/Guardian Name(s)
*
Your answer
Your Home Address
*
Your answer
Home Phone (or Parent Cell Phone if no land line)
*
Your answer
Parent email (if applicable)
Your answer
Is there any important information I need to know right away?
Accessibility issues at home, health concerns
Your answer
What are some of your favorite things? (Ex. favorite snack, game to play, favorite school subject, etc)
Your answer
If you work a job, where do you work?
Your answer
Is there anything else you want me to know about you?
Your answer
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