Mrs. Henry's Student Info Form: 2016-2017

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What is your first name? *

What is your last name? *

If you go by another name, or have a nickname, please put it here:

What is your birthday? *

What is your DSHS gmail address? *

Ex: ds123456aa@dsisdconnect.com (ds, your 6 digit student ID, your first and last name initials)

What class period(s) are you in? *

2nd Period: HST I

3rd Period: Anatomy & Physiology

4th Period: HST III

5th Period: Biotechnology I

6th Period: Anatomy & Physiology

8th Period: HST I

Required

In one word, describe school. *

Do you think you are smart? Why or why not? *

What grade do you expect to earn in this class? *

What is one word that describes you as a person? *

Who was the best teacher you ever had? Why? *

If you could have lunch with one person (famous or not), who would it be and why? *

If school could be about any one thing, and it would be my job to design my class around that one thing, what would you want it to be and why? *

Do you like group work or individual work? Why? *

What are your greatest talents? If I needed your help to do something, what would it be? *

What is your favorite color? *

What is your favorite candy or snack? *

Are you involved in any extracurricular activities, clubs, or organizations? If so, please list them here. *

What are your interests/passions? *

What excites you most about the upcoming year? *

Is there anything you are concerned/worried about as far as this year goes? *

If I have to contact your parents/guardians, who do you prefer I contact? *

What is one thing you would really like to know about Mrs. Henry? (Be original, because I will eventually answer everybody's questions!) *

Is there anything else you think I should know to be a better teacher for you this year? *

Ex: I am a visual learner. I need extra time to process questions. I hope to become a doctor someday...etc.

Do you have a computer at home that you can do your school work on? *

Yes

Please select the option below that best describes your online access at home: *

I don't have internet access at home

I have internet at home but it is dial up

I have high speed internet access at home

Where do you prefer to sit? *

Front of room

Back of room

Near teacher

I don't have a preference

Required

Do you have any allergies or health conditions I should know about?

Submit

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