Student Information Sheet
Grade: ______
Your email address: ______________________@________________
Guardian #1’s name: ____________________ Contact #: _____________
email address: ____________________@_______________
Guardian #2’s name: ____________________ Contact #: ____________
email address: _____________________@_______________
With whom do you live with: (Circle One) Mother Father Both Other: _______________________
School activities you participate/interested in: _________________________
_________________________________________________________________
Do you have a job? __________ If so, where do you work and what do you do?______________________________________________________________
Do you have a computer at home? (Circle One) Yes No
Do you have internet access at home (Circle One) Yes No
Do you own a cellphone? (Circle One) Yes No
If yes, what kind: ________________________________
Do you have any health alerts I should be aware of? Yes No
If yes, please list and explain: __________________________________________________________________________________________________________________________________
What are your plans after high school graduation?______________
_________________________________________________________
List 3 careers you are considering:
__________________ __________________ _________________
How would you describe yourself? (Circle all that apply)
Outgoing Shy Creative Perfectionist Bored Talker
Easily Annoyed Patient Willing to help others Mature
Enthusiastic Competitive Class Clown Bossy
Popular Friendly Impatient Sarcastic Studious
Artistic Easygoing Athletic Musician Quiet
Fun to be around Tired Honest Hard-Worker Procrastinator
Other: _________________ __________________ _________________
TO PRINT...OPEN THE FOLLOWING LINK:
student_information_sheet.pdf
Grade: ______
Your email address: ______________________@________________
Guardian #1’s name: ____________________ Contact #: _____________
email address: ____________________@_______________
Guardian #2’s name: ____________________ Contact #: ____________
email address: _____________________@_______________
With whom do you live with: (Circle One) Mother Father Both Other: _______________________
School activities you participate/interested in: _________________________
_________________________________________________________________
Do you have a job? __________ If so, where do you work and what do you do?______________________________________________________________
Do you have a computer at home? (Circle One) Yes No
Do you have internet access at home (Circle One) Yes No
Do you own a cellphone? (Circle One) Yes No
If yes, what kind: ________________________________
Do you have any health alerts I should be aware of? Yes No
If yes, please list and explain: __________________________________________________________________________________________________________________________________
What are your plans after high school graduation?______________
_________________________________________________________
List 3 careers you are considering:
__________________ __________________ _________________
How would you describe yourself? (Circle all that apply)
Outgoing Shy Creative Perfectionist Bored Talker
Easily Annoyed Patient Willing to help others Mature
Enthusiastic Competitive Class Clown Bossy
Popular Friendly Impatient Sarcastic Studious
Artistic Easygoing Athletic Musician Quiet
Fun to be around Tired Honest Hard-Worker Procrastinator
Other: _________________ __________________ _________________
TO PRINT...OPEN THE FOLLOWING LINK:
student_information_sheet.pdf