Mr. O'Brien's Algebra 1 Student Information 2010-11

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.

6. Take a look at your schedule. When is your study hall and who is the teacher? (e.g. Red 2 Ithomitis) If you have more than one study all, please list them all.

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.

9. Which of the following best describes your success with mathematics? *This question is required.

10. Which of the following best describes your feelings about mathematics? *This question is required.

11. My grade last year in math was: *This question is required.

12. The grade I hope to get this year in math is: *This question is required.

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.
*This question is required.

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? *This question is required.

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 Algebra 1 Student Information 2010-11

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