Select your class Chemistry CP Chemistry Honors AP Chemistry Physics CP Physical Science CP Physical Science Honors

Contact Information

First Name

Last Name

Nickname / Preferred Name

Your E-mail Address

Online Grade Report Password

Parent Name

Parent Phone #

Parent E-mail

Academic Information

Your math skills are 1 - Very Weak 2 - Somewhat Weak 3 - Average (Regular) 4 - Somewhat Strong 5 - Very Strong

Your science skills are 1 - Very Weak 2 - Somewhat Weak 3 - Average (Regular) 4 - Somewhat Strong 5 - Very Strong

Your favorite subject is English Math Science Social Studies Art Gym Agriculture Shop Computer Other

How many hours a night do you study? 0 - (Study? What's that?) 0.5 - 1.0 1.1 - 1.5 1.6 - 2.0 2.1 - 2.5 2.5 - all night long!!!

How many hours a week do you work?
(Include weekends) 0 - (Work? Does sleeping count?) 1 - 5 6 - 10 10 - 15 16 - 20 21 - workaholic dude!

What science classes have you taken?
Please list them.

Personal Interests

What is your favorite TV show?

Who is your favorite band?

Who is your favorite artist?

What is your favorite hobby?

Anything else you want to tell me? COMMENTS:

When you are done, please submit this survey. Thank you!