Student Interest Survey & Syllabus Acknowledgement
Last name, first name *
Your answer
Preferred name/nickname
Your answer
Birthday
MM
/
DD
/
YYYY
Do you enjoy having your birthday acknowledged in class?
English Teacher's Name *
Class Period *
Current grade level *
What literature course did you take last year? *
Your answer
What grade did you earn in your last literature course? *
Your answer
Who was your previous literature teacher? *
Your answer
What do you consider your strongest ELA standard? *
What do you consider your weakest ELA standard? *
State a learning goal you have in mind for this year's lit course. *
Your answer
What is one strategy you have in mind for meeting this goal? Tell me a little about your plan.
Your answer
What access to technology do you have? (check all that apply) *
Required
What activities are you involved in? *
Your answer
What are you passionate about?
Your answer
The title of your memoir would be....
Your answer
My favorite place in the world is...
Your answer
When it comes to group work, I believe I am... *
One thing I really want you to know about me is...
Your answer
Syllabus acknowledgement *
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