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Civics and Economics Student Information Sheet
Contact information for my students in my American History II Class.
Put N/A in any space that is applicable.
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Please enter your First and Last Name
*
Enter the Name that you prefer to be called.
Your answer
Class Period that you have American History II
*
Choose
3rd Period
4th Period
Student's Cell Phone Number
*
Your answer
If you have a cell phone, can you send and receive text messages?
*
Choose
Yes, I have unlimited texting
Yes, but only when it is extremely important
No, I do not text.
I do not carry a cell phone.
Home Phone Number
*
Put N/A if you do not have a home phone
Your answer
Father's Name
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Your answer
Father's Cell Phone Number
*
Your answer
Father's Email Address
*
Your answer
Mother's Name
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Your answer
Mother's Cell Phone Number
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Your answer
Mother's Email Address
*
Your answer
Do your parents send and receive text messages?
*
Your answer
Please list and describe any medical conditions that I need to be made aware of.
*
If there are none, put NONE
Your answer
What are your hobbies or what do you like to do for fun?
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Your answer
How would you describe your political views?
*
Choose
Fiscal Conservative, Social Conservative
Fiscal Liberal, Social Conservative
Fiscal Liberal, Social Liberal
Fiscal Conservative, Social Liberal
If you could go back in time to meet one person in the History of American Government and could ask them one question, who would it be and what would you ask them?
*
Your answer
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