Chem H Information Form
Class Period *
First Name *
Your answer
Last Name *
Your answer
Enter any nickname you'd like to be called
Your answer
Textbook # *
Book numbers are usually in the form XX-##, where X is either a letter or a number and # is a number. Enter "None" if you opted to not take a textbook.
Your answer
Westfield Google account (ends in *
Your answer
Other e-mail address, for communication *
Your answer
YOUR Cell phone # *
Use the format (###)###-####
Your answer
Birthday (MM/DD only)
If you want us to celebrate your birthday (class acknowledgment and tootsie pops!) enter it here. Summer birthdays will be celebrated at your half-birthday..
Starting with 9th grade, list your previous and concurrent science classes, including class year. (9, 10, 11, 12), teacher, and course title (one per line). You do not need to include this course. *
e.g. 9th, Boyle, Biology
Your answer
What extracurricular activities (sports, music, etc.) do you participate in?
Your answer
Sometimes it takes me a while to make a connection to an older sibling that I taught. Please list any older sibling(s) that have had me (one per line).
Your answer
I have read and understand the class requirements, as received in class. *
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