Information for Mrs. Hedrick's Class

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Email *

Student Last Name *

Student First Name *

Parent/Guardian's Name (1) *

Parent/Guardian's Number (1) (please indicate if you can receive text messages) *

Parent/Guardian's Email (if none put N/A) *

Best method for contact for Parent/Guardian (1) -select all that apply *

Phone Call

Text Message

Other

Required

Parent/Guardian's Name (2) *

Parent/Guardian's Number (2) (please indicate if you receive text messages) *

Parent/Guardian's Email (if none, put N/A) *

Best method for contact for Parent/Guardian (2) -select all that apply *

Phone Call

Text Message

Other

Required

How would you describe the availability of internet you have? *

Student has internet access in the home, and it is strong and reliable

Student has internet access in the home, but it can be sporadic or weak

Student has internet access available sometimes (either at one parent's home but not the other/can go to the neighbor's house/can visit a grandparent's home)

Student has no access to at home internet

Other:

Please add any additional comments about internet access here if needed. *

What is your relationship with reading? Do you read a lot? never? What do you enjoy reading if you do read? *

How do you feel about writing? Do you write on your own or only when you have to for school? What type of writing do you like to do most? *

What is a current event you are interested in? Something happening in our world that intrigues you, makes you upset, makes you anxious, makes you excited.... why? *

Do you have any additional information about yourself I should know? Do you HATE reading in front of other people? Do you have trouble seeing the board? Use this opportunity to tell me anything I need to know to make this semester a good one for you and me. *

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