Getting to Know You

Name (official): ___________________________________
Name that you would like me to refer to you as: ____________________________
Name of Parent(s) /
Guardian(s)
Home Phone Number
Work Phone Number
1. When I call home, who would you prefer I speak with? __________
Why? ________________________________________________
2. Do you take the bus? Walk? Get a ride? __________________________
3. Do you like math? ____ Why / Why not? ___________________________________
______________________________________________________________________
3. What is your target mark for this course? ____
4. What do you enjoy in school? ____________________________________________
5. What do you enjoy outside of school? ______________________________________
______________________________________________________________________
6. Do you have a computer at home? ____ Internet Access at home? ________
7. Do you have any medical conditions that I should be aware of ? (i.e. allergies, hard of
hearing in one ear, vision problems,…) _______________________________________
______________________________________________________________________
______________________________________________________________________
8. Do you expect to particiapte in any extra curricular activities? Which ones?
______________________________________________________________________

________________________________________________
9. Anything else you’d like to let me know? __________________________________

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