Student Information Form This information is strictly to help Mr. Kent get to know you and your interests and to help him be better able to communicate with you. All fields are optional and all information will be kept confidential.
Name: Last First
Class You Are Taking: Algebra II Geometry Elementary Algebra II Class Period: Period 1 2 3 4 5 6 7
Phone:
E-mail
Guidance Counselor: Ms. Paulino Mr. Sullivan Mr. Yung
How do you want to be addresses in class:
Father/Guardian's Name :
E-mail:
Mother/Guardian's Name :
Extracurricular Activities:
Why are you taking this course?
What math course did you take last year? Basic Math Pre-Algebra Algebra I Geometry Elementary Geometry Algebra II Elementary Algebra II Math Topics Pre-Calculus Calculus Other Course
Did you like it? Yes No
How did you do?
A+ A A- B+ B B- C+ C C- D+ D D- F Don't Remember Grade
In past math courses, what have you liked and what have you disliked?
Please tell me some of the things about yourself that you think would be important for me to know. (Example sitting up front)
If you are finished and everything is the way you want it click on the "Submit Info" button. If you want to clear everything and star over click the "Reset" button and start again. Thank you for your time.