Student Information Form

Please answer all questions as accurately and honestly as possible. Your answers will be kept confidential.

Full Name:

First NameLast Name

E-mail:

Grade Level:

Previous Math Teacher:

What was the last math course you took?

Approximately what was your final letter grade in your last math class?

Not counting TSA, how many study halls do you have? (If you have a study hall for only half a year, use .5.)

On a typical school night, how many hours of sleep do you get?

My home/family situation is...

Check all that apply:

What areas of math are you good at? What areas of math do you need to work on?

Describe your strengths and weaknesses as a student.

What are your post-graduation plans?

Tell me anything else that you think I should know about you or your situation.