Do you have a preferred shortened name/nickname? (i.e. You are Mackenzie but prefer to be called Mack) *
Your answer
Preferred Pronoun? *
Who do you live with? *
Your answer
E-mail of Parent or Guardian (if known)
Your answer
What school did you attend last year? *
What is your most favourite subject? *
Your answer
What is your least favourite subject? *
Your answer
How would you rate your confidence level in math? *
What will you need to do to be successful in math? *
Your answer
Do you have someone besides Mrs. Wagler (parent/sibling/friend) that can help you with Math, outside of school, if needed? Who is that? *
Your answer
Do you have an IEP (Individual Education Plan)? *
Do you have a part-time job or volunteer somewhere? If so, where? *
Your answer
What are your extra curricular activities/interests? *
Your answer
What do you think you would you like to do after you graduate W-O? Be specific!!! (ex. university to become a marine biologist, college to become a skilled electrician, etc.) *
Your answer
Are there any medical concerns/allergies that your teacher should be made aware of? List all that apply or simply reply 'no' if there are none. *
Your answer
The last few years have been a long and trying time for many. How would you rate your mental health status at this point? If none of the options below apply to you, please use the "other" category to express how you are feeling. Please do not check 'other' and then leave the space blank. *
Please use this space to elaborate on your mental health status choice from the previous question, ONLY if you feel that you would like to do so.
Your answer
Is there anything that your math teacher should know about you? (preferred name, vision issues which would affect where you should sit, special considerations...).....IF NOT, then tell me something INTERESTING about you! *
Your answer
Do you have any questions or concerns right now about math class? Or school? *
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of WATERLOO REGION DISTRICT SCHOOL BOARD. Report Abuse