Please neatly complete the following information and return it to me:

 

Last Name_______________________ First Name________________      Prefer to be called________

 

Period_____________       Class Title______________

 

Parent or Guardians Name(s)  __________________________________________________________

 

Work # ___________________________                    Home #_______________________________

 

Do you drive to school or will you be driving this year (Circle One)?  YES   NO  

Describe the best job you have ever had in the box below and explain why it was the best job:

Text Box:  

 

 

 

 

 

Would you want to do this job for the rest of your life?   YES   NO   Explain why or why not below:

Text Box:  

 

 

 

 

Who is the best person you have talked to about the plans you have after graduation? What are they and why is that

person good to talk to?

 

 

 

Who was your favorite teacher (don’t worry about spelling the name) last year (if you had me pick someone else) and

explain why they were your favorite:

 

 

 

What teacher helped you learn the most (if you had me pick someone else) and explain what things they did to help you?

 

 

 

Last year I received the grade of           in English.  On the Regent’s Exam I scored a           .  What do you like most

about English as a subject?

 

 

What is your best subject in school?

 

What do you expect to learn from this course?

 

What are some things you know a lot about?
 
What are some things about which you would like to know more?

What do you think you might need extra help with in school?


What is your favorite: TV show _________ sport _________ place _________ movie ________

About how many books have you read in the past three years that were not assigned as part of school work?