Mr. K's Information Orm-Fay!
Thank you for visiting my information form! Your online responses represent confidential information; they will not be disclosed to any third party and are used only to initiate and maintain contact regarding your child's progress during the current school year.
Thank you for "going green" and saving paper!!

Parents: your completed entry, by Monday, September 16th, 2016, will earn your child a free HOMEWORK PASS- good for any assignment during the 1st 9 weeks!

Student Name: *
Type your child's name here!
Your answer
What does your child prefer to be called?
Your answer
Child's Gender:
Which block does your child have his/her math class?
If you do not know, you can leave this blank.
Parent/Guardian Name *
Type your name!
Your answer
Phone Number: *
Your answer
Phone Number #2:
Your answer
When is the best time of day to reach a parent/guardian by phone?
You may click more than one possible timeframe.
Email Address: *
Your answer
Alternate Email Address:
Your answer
What is your child's birthday?
(Use the format mm/dd/yyyy)
Your answer
Does your child have any allergies? *
Which answer best describes your child's understanding and desire to learn mathematics? *
(Don't worry; you can ask them...)
Which answer best describes YOUR understanding and ease of understanding mathematics?
(Just as I help children with math, I am happy to help YOU!)
Please feel free to use this space to tell us anything you'd like us to know about your child.
(Interests, hobbies, relevant home and/or custody information, comfort level with technology use, information that may better help/educate your child, etc.)
Your answer
Your child has received, or will receive, a class syllabus sheet containing a wealth of information related to how Mr. Kubinak will conduct class. This information includes, but is not limited to, grading policies, rules/procedures, school supplies, schedules, and my contact information. Your child will keep a copy of this syllabus in their binder for future review. Please click below that you have read and understood that information. *
At various points during a week or learning unit, your child will utilize an Internet connection to access math resources (videos, mini-lessons, etc.). Many students will endeavor to complete such tasks outside of school, but it is clearly understood that some students may not be able to complete tasks due to a variety of factors. To that end, ALL STUDENTS WILL HAVE EQUAL OPPORTUNITY to utilize resources, whether in- or out-of-school, to complete web-related tasks, in a way that is respectful and meaningful. *
Please select one answer.
Apart from regularly-planned classroom activities, students will use technology resources to accomplish math-related tasks including but not limited to, tablet PCs, laptop computers, and video recording hardware. When appropriate, students will have the ability to use their own electronic devices to accomplish class tasks. ANY STUDENT WHO BRINGS IN THEIR OWN ELECTRONIC DEVICE FOR SANCTIONED ACTIVITIES IS RESPONSIBLE FOR THE SAFEKEEPING OF THAT DEVICE, AND IN NO WAY WILL A TEACHER, SCHOOL, OR DISTRICT BE LIABLE IN THE EVENT OF LOSS, DAMAGE, AND/OR DESTRUCTION OF PERSONAL DEVICES. *
Please select a response of acknowledgement.
At various points in the year, Mr. Kubinak may record lessons, activities, and/or take photographs during class. These media are collected for lesson plan reflection, and/or possible use in grant proposals. Students are not mentioned by name in these recordings. If you would prefer your child not be recorded, please select the statement below that fits that decision. *
Please select one answer.
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