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2015-2016 Student Information Survey
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Name
:
What class period do you have Mrs. Hill's class?
1st period
2nd period
3rd period
4th period
5th period
6th period
7th period
What is the name you want me to call you?
Grade:
9
10
11
12
How many siblings do you have?
Brothers (ages):
Sisters (ages):
What kind of pets do you have?
What are the three most important things I should know about you?
What are things you are really good at?
What is the favorite thing you did this summer?
What have you most loved learning (even if not in school)? Why?
What’s your favorite thing to do when you’re not in school?
What do you love about school?
What do you not like about school?
I work best in a classroom that is....
Some things I really want to work on this year are...
What do you wish teachers would notice about you?
Please complete this sentence: The best teachers for me are teachers that...
Do you have access to a computer with internet at home?
Are you currently employed? If so, where? Where have you worked before?
What are your career plans for the future?
Do you have any health problems that I need to be aware of?
Which parent or guardian would you like me to contact if I need to call home?
Please tell me what you expect from this class.
Please tell me anything else you wish for me to know about you.
Mrs. Hill
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