Please return to Ms. Lehman no later than Friday, August 29st. Please be sure to fill out the back as well.
STUDENT’S FULL NAME: ______
PERIOD: ______BIRTHDAY: ______
ID: ______School:______
EMAIL ADDRESS: ______
FATHER’S NAME: ______
HOME ADDRESS: ______
______
HOME PHONE #: ______
WORK PHONE #: ______EXT: ______MAY I CALL YOU AT WORK? ______
EMAIL ADDRESS: ______
Please provide your email addresses – I will add them to a database and send updates for class information, deadlines, etc.
MOTHER’S NAME: ______
HOME ADDRESS: ______
______
HOME PHONE #: ______
WORK PHONE #: ______EXT: ______MAY I CALL YOU AT WORK? ______
EMAIL ADDRESS: ______
CLASS SCHEDULE:
1st – Teacher: ______
Class: ______
Room #: ______
2nd – Teacher: ______
Class: ______
Room #: ______
3rd – Teacher: ______
Class: ______
Room #: ______
4th – Teacher: ______
Class: ______
Room #: ______
5th – Teacher: ______
Class: ______
Room #: ______
6th – Teacher: ______
Class: ______
Room #: ______
7th – Teacher: ______
Class: ______
Room #: ______
8th – Teacher: ______
Class: ______
Room #: ______
Do you have access to a device with Internet access in my class? ______
If so, do you bring this device daily? ______
Do you have access to a computer at home? ______
If so, does this computer have Internet access? ______
INFORMATION ABOUT YOU:
Do you work? If so where and how many hours a week?
______
Do you participate in extra curricular activities? If so what and for which school?
______
Do you have any learning disabilities?
______
Have you ever failed a Social Studies class? If so, why?
______
What makes History classes easy/hard for you?
______
How do you learn best (visual, auditory, location in class, etc)?
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What do I need know to maximize your learning and motivation in my class?
______
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What are you most interested in learning in history?
______
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Is there anything else you would like me to know about you (hobbies, random facts, favorite music/movies, etc.)?
______
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Who is your favorite teacher in the building and why?
______
How many AP exams have you taken before? ______
What was your highest score and on which test?
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What was your lowest score and on which test?
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Do you have a good place to study and do homework? If no, would you like to use my classroom?
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