Student Information
Email address *
Official first name *
The way it will appear in PowerSchool and on official school documents
Your answer
Preferred first name
If you have a nickname or shortened name or other name you prefer to be called, please list it here.
Your answer
Official last name *
Your answer
Preferred last name
If you have another name or combination of names you prefer to use as your last name, please list it here.
Your answer
I have Ethics & Media during period *
I am a *
My laptop is a
When the teacher refers to me, I want her to use this pronoun: *
Him, her, they...
Your answer
Parent 1 First Name *
Your answer
Parent 1 Last Name *
Your answer
Parent 1 Email address *
Please double check to make sure you type this correctly.
Your answer
Parent 2 First Name
Your answer
Parent 2 Last Name
Your answer
Parent 2 Email address
Please double check to make sure you type this correctly.
Your answer
Name at least one specific thing you hope to learn in this class. *
Consider what you've heard about the class, what made you want to take this class, what comes to your mind when you think about the title of this class...
Your answer
Which social media outlets do you use and why? *
Like: Snapchat for friends, Instagram for inspiration, Twitter for news, ...
Your answer
What is your favorite TV show? *
If you don't really watch TV, tell me that.
Your answer
What is your favorite YouTube channel? *
If you don't really watch YouTube, tell me that.
Your answer
What is your favorite video game? *
If you don't really play video games, tell me that.
Your answer
What is your favorite podcast? *
If you don't really listen to podcasts, tell me that.
Your answer
Who is your favorite musical group? *
If you don't really listen to music, tell me that.
Your answer
What is the best movie you've seen in the last year? (in theater or elsewhere) *
If you don't really watch movies, tell me that.
Your answer
What do you think is the most important ethical dilemma when it comes to media for teenagers?
Your answer
What is something I should know about you if I am going to teach you?
This is something about your learning style, your preferences for seating, or anything else that helps you learn or stops you from learning that you want me to know.
Your answer
Is there anything else you'd like me to know?
This is a chance to share with me something joyful like "I turn 18 this semester!" or something difficult like "My parent has cancer." This could also be something you like I should know, given the content of this class, such as: "I have a relative who is incarcerated" or "My friend has experienced online bullying." List as much as you want - know that you can also tell me things in person. Know that there are limits to my ability to keep information confidential that relates to harm to you or others.
Your answer
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