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Student Information Sheet Obrien

This document contains a student information form for a middle school class. It requests the student's name, school previously attended, contact information including cell phone and email. It also asks if the student needs to sit in front of the class for visual or concentration reasons. Additional sections request emergency contact information, siblings, hobbies, school activities, future career interests, and a parent signature. A second section collects parent contact details and communication preferences. It emphasizes the importance of parent involvement and notes the teacher's primary means of communication will be through an online grade portal called Infinite Campus.

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90 views2 pages

Student Information Sheet Obrien

This document contains a student information form for a middle school class. It requests the student's name, school previously attended, contact information including cell phone and email. It also asks if the student needs to sit in front of the class for visual or concentration reasons. Additional sections request emergency contact information, siblings, hobbies, school activities, future career interests, and a parent signature. A second section collects parent contact details and communication preferences. It emphasizes the importance of parent involvement and notes the teacher's primary means of communication will be through an online grade portal called Infinite Campus.

Uploaded by

api-261962416
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Period: __________

Student Information
Name to be called in class (first and last, please)_______________________________
School attended last year: ____________________________
Cell Phone Number
Your Email address_____________________________________
Do you need to sit in the front to see the board or TV?
Do you need to sit in front to concentrate better?

YES
YES

NO
NO

Adults who live with me:


Name________________________ Relationship_________________
Name________________________ Relationship_________________
Brothers and Sisters:
Name_______________ Age____
Name_______________ Age____

Name_______________ Age_____
Name_______________ Age_____

If you have pets, tell me about them:

Hobbies (what do you do in your free time):

School activities (you are or WILL be doing):

If you had one wish, it would be to:_______________________________


Right now, the career you are most interested in is:___________________
_________________________________________________________

School year 2014-15

Parent/Guardian Signature ______________________________

Period: __________

Parent Contact Information


Name of Mother/Guardian:
_______________________________
Best Phone number to contact you:_______________________
Best time to contact you: ______________________________
Your Email address_____________________________________
Name of Father/Guardian:
_______________________________
Best Phone number to contact you:_______________________
Best time to contact you: ______________________________
Your Email address_____________________________________

Important Notice!
Parent involvement is a critical component in your students success in Middle School.
My primary means of communication to you regarding your students progress in class
is through Infinite Campus. You and your student will each be assigned your own
access names and passwords to set up your individual accounts. I will update my class
grades about once a week, usually on Thursday or Friday. Please feel free to contact
me via e-mail regarding any issues or concerns you see on Infinite Campus. If you are
unable to access Infinite Campus at any time, feel free to e-mail me at
slclark@washoeschools.net or you can call OBrien Stem Academy at 677-5420.

Date

School year 2014-15

Contact Log

Notes

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