Class Survey

 

Name: __________________________________ period / class: _________________

 

What name do you want me to call you: _______________________              current grade level (i.e. 9 - 12):  ______

Do you have a computer at home ? _____             Do you have Internet access from home ? _____   

List your most recent math and science course, semester grades (A - F), and teacher's name:

Math course name:

__________________

semester grades:

________

teacher: 

____________

     

Science course name: 

________________

semester grades: 

________

teacher: 

_____________

tell me about yourself (optional; e.g. interests, reason you enrolled in the class; etc.)

 

 

 

 

 

 

List your class schedule: include period, class, teacher, and room number: