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    Do you work an after school job? _______ If yes, how many hours / days per week? ____________ days or Nights or NA Do you have a computer at home? _______________________________ Do you have access at home to the internet?

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    Do you work an after school job? _______ If yes, how many hours / days per week? ____________ days or Nights or NA Do you have a computer at home? _______________________________ Do you have access at home to the internet?

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    289 views1 page

    Studentinfosheet

    Uploaded by

    api-26963416
    Do you work an after school job? _______ If yes, how many hours / days per week? ____________ days or Nights or NA Do you have a computer at home? _______________________________ Do you have access at home to the internet?

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Student Information Sheet

    General

    Class Period______ Name_______________________________________ Nickname ___________________


    Email ____________________________________________________ Cell Number_______________________
    Do you work an after school job? _______ If yes, how many hours/days per week? ____________ Days or Nights
    An interesting fact about you! _______________________________________________________________
    Home Life
    Live with (circle appropriate answer)

    Mother(s)

    Father(s)

    Both

    Other_____________

    Parent/Guardian __________________________________ What is their work schedule? Days or Nights or NA


    Email ____________________________________________________ Cell Number_______________________
    Parent/Guardian __________________________________ What is their work schedule? Days or Nights or NA
    Email ____________________________________________________ Cell Number_______________________
    Language(s) Spoken at Home_________________ Do you have siblings (brothers, sisters) _______ Older or Younger?
    Do you have extended family (grandparents, cousins, etc. who live with you at home? ___________________________
    Do you have a computer at home? __________ Do you have access at home to the internet? __________
    Other Questions
    Are you new to Reagan? ______ If so, what was your previous school? ____________________________
    On-campus clubs and organizations that you are involved in or would like to be _______________________________
    __________________________________________________________________________________________
    When you graduate from Reagan high school, what are your plans? (Career, college, military, etc.)
    __________________________________________________________________________________________
    What are your learning preference(s)? You may choose more than one option:




    Drawings
    Flashcards
    Games
    Group Work



    Labs
    Learning with
    Music
    Notes



    OneonOne
    Tutoring
    Projects


    Teacher Lecture
    Using the
    Computer

    Review Sheets

    What was the last math course you took? ________________________Circle Your Avg Grade A B C D F
    What was the last science course you took? ________________________Circle Your Avg Grade A B C D F
    Thing(s) a previous teacher has done that HELPED you to learn: Why?
    _____________________________________________________________________________________
    Thing(s) a previous teacher has done that DID NOT help you to learn: Why?
    _____________________________________________________________________________________

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