Introducing Your Student
I'd like to know more about your student, through your eyes. The more I know, the better I can tailor an educational and motivational program to fit his or her particular needs.

Please answer the questions and complete the information in the following survey. Feel free to write as much or as little as you need to give me the most comprehensive picture of your student as possible.

If you have more than one student in my classes, please fill out this form once for EACH student. Please know you can email me at any time with additional information at mellis@my.rescueusd.org. Thank you for your time!

Student's Last Name *
Your answer
Student's First Name *
Your answer
English Period *
Parent/Guardian Name(s) *
Your answer
Primary Contact Email *
Your answer
1. Please list five words that best describe your student's character. (ex: competitive, cheerful, perfectionist, etc.)
Your answer
2. What excites or motivates your student?
Your answer
3. What upsets or discourages your student?
Your answer
4. What are your student's out-of-school interests and activities?
Your answer
5. What activities do you share with your student? What problems/successes do you have working/playing together?
Your answer
6. What English Language Arts skills do you believe are your student's strengths?
7. What English Language Arts skills do you believe are your student's weaknesses?
8. What study skills do you believe your student needs to develop? (time management, organization, note-taking, critical thinking, communication, etc.)
Your answer
10. What goals do you have for your student this year? What are your student's plans for high school?
Your answer
10. Which academic subject is your student's best? Worst? Favorite?
Your answer
11. Does your student have access to a computer with internet access at home? *
Please check all that apply
12. Are there any personal or physical problems I should know (or conference privately) about?
Your answer
13. Free response - do you have other comments, questions, or concerns or any additional information about your student you'd like to share?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service