BACKGROUND FORM
First Name *
Last Name *
Favorite Things to do *
Who was your ESL Teacher last year? *
Required
Do you like to participate in class? *
How do you like to work in class? *
Required
What do you have the most difficulty in English with? *
Required
What are your strengths? *
Required
Do you feel comfortable speaking English? *
Did you attend summer school? If yes, please identify the course and teacher you had. *
What are your expectations for this school year?Please be specific and do not say, "I want to improve my English." *
What is one thing people do not know about you? *
What is one thing that you want teachers to know so that they can understand you better? *
What is one thing that you want to change about yourself? *
Where are you from? *
Date of birth *
Did you attend a public or private school in your country? *
What kind of student do you consider yourself ? 1= ok 5 = very good *
Have you won any awards in school or outside of school? *
If yes, explain. If no, leave blank
Have you participated in any school activities? *
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