2013-2014 Discipulus/a Survey for Magister Lao's classes
Salvete Discipuli.

With the guidance of your parents/guardians, please complete the following survey.  Adequate completion of this survey will earn you credit for the first homework assignment of the year.  Please contact Mr. Lao with any questions/concerns.

Thank you,
Magister Lao
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Discipulus/a Information
Discipulus/a Nomen *
First name only - the official name you would have in the school system.
Last name *
You should refer to me as...
Complete only if you have a preferred nickname or shortened form of your name that is not your official first name.
Grade level *
Advisor's Name *
Last name only
Which recitation do you have Mr. Lao? *
In which class do you have Mr. Lao? *
Discipulus/a Preferred Email Address *
Give the email address you check most regularly for school.  Bonus points if you've already made the transition to a professional email address.  So, no "sk8erboi55" or "cutiegirlz14".
Primary language spoken at home *
Is regular Internet access at home difficult for you to have? *
If yes, please explain.  For example, because you don't have it at home, or you have to share with lots of siblings, etc.
Your cell phone number
This is optional.  On very rare occasions, I have needed to contact students with some degree of urgency.  I will not frivolously share your number with anyone.  If you'd rather not give your number, feel free to leave this question blank.  Enter as (XXX) XXX-XXXX
Parent/Guardian Information
Parent/Guardian #1 Nomen *
First and last name
Parent/Guardian #1 relationship to student *
Such as "mother", or "uncle", etc.
Parent/Guardian #1 preferred email address
Parent/Guardian #1 preferred phone number *
Enter as (XXX) XXX-XXXX
Does s/he prefer email or phone calls? *
If s/he prefers phone calls, what day and time are the best to call?
Would s/he need a language interpreter if contacted? *
If yes, what language does s/he speak?
Parent/Guardian #2 Nomen
Parent/Guardian #2 relationship to student
Parent/Guardian #2 preferred email address
Parent Guardian #2 preferred phone number
Enter as (XXX) XXX-XXXX
Does s/he prefer emails or phone calls?
Clear selection
If s/he prefers phone calls, what day and time are the best to call?
Would s/he need a language interpreter if contacted?
If yes, what language does s/he speak?
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