Please answer all questions using PROPER PUNCTUATION AND CAPITALIZATION. All information is confidential.
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
Home Phone Number
If you do not have a landline, type NO HOME PHONE.
Your Cell Number
If you do not have a cell phone, type NO CELL PHONE.
Parent/Guardian FULL Name
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.
What year do you plan to graduate?
What class period is this?
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.
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