Student Information
Please answer all questions using PROPER PUNCTUATION AND CAPITALIZATION. All information is confidential.
Email address *
First Name *
Your answer
Last Name *
Your answer
Mailing Address *
THIS IS YOUR HOME MAILING ADDRESS, NOT YOUR EMAIL! It should include your street address, city, state, and zipcode. For example: 123 Smith Street, Lafayette, LA 70503
Your answer
Home Phone Number *
If you do not have a landline, type NO HOME PHONE.
Your answer
Your Cell Number *
If you do not have a cell phone, type NO CELL PHONE.
Your answer
Parent/Guardian FULL Name *
Your answer
Parent/Guardian Cell Number *
If you do not know, or if they do not have a cell phone, type I DO NOT KNOW or NO CELL PHONE.
Your answer
What year do you plan to graduate? *
What class period is this? *
Required
Do you have any concerns that you would like to share with Mrs. Bennett?
Please list any accommodations you have, health issues I should know about, or other things that you would like me to be aware of. IF THERE ARE NONE, PLEASE LEAVE THIS ANSWER BLANK.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Ahsbusinessandfinance.com.