Course _______________________ Period ______ STUDENT INFORMATION NAME ____________________________________________Homeroom/Advisor _____________________ Mailing Address (street AND city)___________________________________________________________ Student’s Email address ____________________________________ Home / Cell Phone ______________ Parents' Names__________ ____________________ Parents’ Email Address _________________________ Name of guardian (if not living with parents): ___________________________________________________ Person to contact if there is an emergency/problem: _____________________________________________ Relationship _______________________ Telephone number__________________________________ This Semester's Schedule 1. __________________________________ Teacher _________________________________ 2. __________________________________ Teacher _________________________________ 3. _________________________________ Teacher _________________________________ 4. __________________________________ Teacher _________________________________ Describe any unusual health conditions you may have: List after school activities in which you participate: (sports, band, work, etc.)____________________________ ______________________________________________________________________________________ Complete the following: I like to read … My favorite subject is …. The proudest I've been was … The luckiest I've been was The biggest mistake I've made was … What is a story from your own life or your ancestors' lives that you are likely to pass along to younger generations? What else should I know about you?