2010-2011 AP Lit. Student Information Form

New student survey- Please type your answers in Word and then paste them into this form. I have had problems with the survey timing out and I wanted to keep you from having to type everything multiple times.

Name


A red asterisk (*) indicates required questions.


  1. What is your legal name of record on all paperwork and what do you want to be "called" in class? My given name is Cynthia Green, you may call me Ms. G, or Ms. Green*


  1. Please provide me with a home contact name (parent/guardian), phone number, and email if possible. PLEASE give a CORRECT phone number. If I need to call and you've given me a wrong number, it is VERY frustrating. You won't like me when I'm frustrated...*


  1. What is at least one strong area you have when it comes to your English skills (listening, speaking, writing, vocabulary, grammar, reading etc.)?*


  1. What is at least one weak area you have when it comes to your English skills (listening, speaking, writing, vocabulary, grammar, reading etc.)?*


  1. Please select your gender (this is for state demographics purposes only)*
    male
    female


  1. Please select your race (this is for state demographics purposes only)*
    White - Non-Hispanic
    White - Hispanic
    African-American
    Asian
    Other


  1. Please select all technology you are familiar with using.*
    email
    Microsoft Word
    PowerPoint
    Quia testing
    Movie Maker or Photo Story
    Internet Research
    Podcasts
    Sametime meeting room
    Digital photography
    Web 2.0 applications
    Moodle
    VoiceThread


  1. Please tell me some things about you that will help us work well together. For example, I have a weird thing with noises and don't work well with a lot of noise going on. *


  1. Please select your high school.*
    Bradley
    Lee
    Waldron
    J.D. Leftwich
    Cutter Morning Star
    Pangburn
    Jasper
    Cross County
    Junction City
    Kingston
    Oark
    Hughes
    England
    Westside Johnson
    Hampton
    BIC
    Nemo-Vista
    Hector
    Blevins


  1. What is your 1) school mascot, 2) school colors, 3) biggest school rival?*


  1. Please select any formal services you receive at school. This is for my information only, to better help you in class.*
    IEP
    504
    ESL
    other
    NONE


  1. If you answered "other" above, please explain for me.


  1. Type your email address in the space provided. You want to use either your school provided email or an email that is accessible from your school computer.





AP Literature Instructor
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