Hogan Class Registration SY1617
Please fill out this form by Tuesday 9/13/16. You will receive a grade (10 points) for completing this form. Type carefully, double check that you have not made any typos.
Last Name
Your answer
First Name
Your answer
Preferred Name/Nickname
Your answer
Student E-Mail Address
Your answer
Parent/Guardian Name(s)
Please list names and relations. For example: Sherry Hogan (mom), Roger Jones (stepdad)
Your answer
Parent/Guardian Email(s)
Please indicate whose email address it is. For example: sherry.hogan123@gmail.com (mom), rjones51@gmail.com (stepdad)
Your answer
Parent/Guardian Phone Number(s)
Please indicate person and type of phone. For example, 555.215.5555 (mom, cell), 555.267.5555 (mom, home)
Your answer
Class
Select the class in which you are currently enrolled.
Personal Goals for this Course
Select all that apply. Be honest. Not all choices apply to all courses (for example, there is no AP exam for HA2PC)
Required
Steps Towards My Goals
Select all that apply. Be honest. Not all choices apply to all courses (for example, weekend reviews are only for students taking AP exams.)
Required
Issue/Concerns that make my goals more difficult
Select all that apply. Be honest. What things are you concerned will make it more difficult to succeed in this course?
Required
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