Mr. Markstone's Sweet, Sweet Information Survey- 2014/2015 School Year
Hello,
Below is a form containing information that I need to better serve you during the school year. Please take a few minutes to fill out all of the information asked for. This is a homework assignment, and will help communication between you and I, and your parents and I during the school year.
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Personal Information
These are some basic things that I need in order to make sure I give you the best educational experience possible. You may not think this stuff is important for me to know, but I assure you it is. If you have trouble with anything, just let me know.
Last Name *
If you have more than one please list them all, in order.
First Name *
Preferred Name *
For instance, my name is Matthew but I like to be called Matt. What would you like to be called in class? And no, I won't call you Mac Daddy Giggles, or anything like that.
Date of Birth *
Address *
Street Number, Apt. Number, City and Zip Code
With whom do you live? *
Check all that apply
Required
Home Phone Number (Land-line)
Primary Caregiver's Name and Cell Phone
The person with whom you live, and their number.
Primary Caregiver's email
The person with whom you live, and their email address
Do you have an email account? *
If your answer is no, you are going to need to create one to be used for this class.
Email Address *
Make sure you type this in correctly. If you don't have one, go create one and then continue. You can use any email server you want to, most of them are free (Google, Hotmail, Yahoo, etc.).
Do you have a cell phone? *
Who is your Wireless Provider? *
Required
What features do you possess on your phone and your wireless plan? *
Check all that apply
Required
What is the best way to contact you? *
Check one
Required
What language is most often spoken in your home? *
Check one
Required
Do you play any sports at SMHS? *
Check all that apply
Required
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