Student and Parent Information Survey

What is your name? * (last, first)

Is there another name by which you'd like to be called? *

What is your mother/guardian's name? *

What is the best phone number through which to get a hold of her? * please include area code

What is her email address? *

What is your father/guardians name? *

What is the best number through which to get a hold of him? *

What is his email address? *

Do you or your parents have a Gradespeed account set up. *

What was the last math class you completed? *

Who was your last math teacher? *

What was your grade in your last math class? *

Have you ever taken summer school or credit recovery for a math class? * check all that apply

Do you want to go to college? *

Do you have a preferred seat placement? i.e. front of the room, near the teacher, near the kleenex, etc

Tell me a little bit about yourself!

Check below to acknowledge receipt and understanding of the classroom rules and guidelines *