Mr. O'Brien's AP Calculus Student Information 2010-2011

1. Please provide the contact information below:
*This question is required.

First name:
Last name:
Your email address:
Parent email address:
Home phone number:

2. What math class are you in this year? *This question is required.

3. What math class were you in last year? *This question is required.

4. What grade are you in? *This question is required.

5. Who is your counselor? *This question is required.

7. Will you have internet access at home?
*This question is required.

8. How often do you use the following means of communication? *This question is required.

Space Cell	Daily	Less than once a day	Less than once a week	Never
Email
SMS (phone text messaging)
IM (AIM, Skype, iChat, etc.)
Facebook
Myspace
Twitter

The better I know you, the better I can teach you mathematics. Answering the following will tell me a little about your experience learning mathematics thus far. If I taught you last year, you can skip to the last question.

9. Which of the following best describes your success with mathematics?

10. Which of the following best describes your feelings about mathematics?

11. My grade last year in math was:

12. The grade I hope to get this year in math is:

13. Give me a brief math autobiography- what has gone well for you in your study of math in the past, and what hasn't gone so well? Please be thoughtful here.

14. Tell me a little about your goals for your math class this year- what do you want to learn, do you intend to always/sometimes/never do homework, what would be your ideal math year, how do you see yourself using math in the future, etc?

15. Is there anything else you'd like to tell me- other interests, extra email addresses, things that would help me teach you better, etc?

Mr. O'Brien's AP Calculus Student Information 2010-2011

Page One