New Student Information form

Purpose: To collect contact information from each student. Your response to this survey is worth a test grade.
Name: 


A red asterisk (*) indicates required questions.

  1. Enter your Student ID #*


  1. First Name:*


  1. Last Name:*


  1. Indicate the class you are enrolled in?  *


  1. What period will you be taking this class?  *


  1. Provide your address:*


  1. Provide your (Guardian) Mom's Phone #/Cell Phone:*


  1. Provide (Guardian) Mothers E-mail Address:*


  1. Provide your (Guardian #2 ) Dad's Phone #/Cell Phone:*


  1. Provide (Guardian #2 ) Dad's E-mail Address:*


  1. How do you like to learn new information or learn new tasks?*

          1 2 3 4    
      Watch someone who knows how...   
      Read about it...   
      Watch someone then try it on your own...   
      Watch someone then have them watch you do the same thing...provide correction on the spot   
      Read about it then have someone watch you try it on your own...   
      Listen to explanations then try it on your own...   
      Have someone show you every little detail...   
      Show me what it will look like at the end...let me figure it out.   
      I need to be "spoonfed" like an infant...I need lots of attention...and kind words...I need to be told all the answers...I need hear that my work is great all the time, even if it is not   
      I'll pretend that I understand. I'll pretend that I'm listening. Than I'll pretend that I'm doing work. I realize that by this response, I realize that this is not class for me. I'll will quickly fall behind and I might not make it at the end.   


  1. Something about you. What do you expect to get out of this class? What are your hobbies? What do you like or dislike about school*


  1. Something about you. What do you expect to get out of this class? What are your hobbies? What do you like or dislike about school?*





Mr. Rodriguez
Olympic Highschool