Name:______________________________ Grade:________ Subject:____________ Locker Number:_________ Textbook Number:_________ Condition of  Book:______
Have you taken this  class before? _____Yes  _____No   

Background information:

Address:__________________________________Home Phone:(____)____-______
Father's Full Name:____________________________________
Place of Employment:__________________________Work Phone:(____)_____-______

Mother's Full Name:____________________________________
Place of Employment:__________________________Work Phone:(____)_____-______

Names and ages of brothers and sisters:
_________________________    ________     ______________________    _________
_________________________    ________     ______________________    _________

Interests:
Hobbies:_____________________   __________________   _______________________
Favorite Books:_______________   _________________   ________________________
Favorite Movies: _______________   __________________  ______________________
Favorite sport, activity, or entertainment: __________________   __________________
Favorite music or musical groups:_______________________   ___________________
Why did you sign up for this class?___________________________________________
What do you expect to learn in this class?______________________________________
Do you work? __________If so, where? _______________________________________
What do you want to be when you get out of school?_____________________________
What do you want to be when you get out of this class?  (Besides yourself, that is) ________________________________________________________________________

Additional information you would like me to know about you:

Additional information you would like me to know that might help you do better in this class.