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TimestampStudent ID#:Last Name:First Name:Period:Email Address:Birth date:Do you have late arrival?Do you have a Study Hall?Do you have early dismissal?Do you work after school or on the weekends?If you answered yes to the previous question, what type of work do you do and how many hours do you work in a week?What are your goals for this school year and what action are you going to take to achieve them?What is your biggest accomplishment to date?What are your plans after graduation?What would you like to share about yourself? Is there anything you would like me to know about as we start the new year?Mother's Name:Mother's Email Address:Mother's Phone #:Father's Name:Father's Email Address:Father's Phone #:
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2015-16