Student Information Sheet
- Name: _________________________
- Student Number: _______________
- Per: ______
- Day phone: ______ - ______________
- Name of parent/guardian at this number:
- Current Math Class: _______________
- Do you have wear contacts? _____
- Mailing Address: _____________________
- ____________________________________
- ____________________________________
- Evening phone: _______ - ____________
- Name of parent/guardian at this number:
- Do you have a computer at home? _____
- Do you have Internet access at home? ____
- Please list any known allergies: _________________________________________________
- Seating requirements (problems seeing the white board, etc):
-
Difficulties you have experienced in previous science classes:
Teacher's Notes: