Name: ______________________________________ Grade: 9 10 11 12

Address: ________________________________________________________

City: ______________________________ Zip: _________________

Home Phone: _______________________ Home e-mail: _______________

Student Number: ____________________ Counselor: _________________

Mother / Guardian name: ___________________________________________

Occupation: _________________ Daytime/Work # : ________________

Father / Guardian name: ____________________________________________

Occupation: _________________ Daytime/Work # : ________________

Period	Class	Teacher	Room #
1
2
3
4
5
6

My birthday is: ______________________________

List 3 things I hope to get out of Biology this term:

1. _________________________________________________________

2. _________________________________________________________

3. _________________________________________________________

Please tell me about you …

Extracurricular activities (sports, clubs, hobbies, jobs, etc.)

________________________________________________________________

Plans after graduation from high school including career goals:

________________________________________________________________

Favorites:

Music ________________________ Food ___________________________

Color ________________________ Book ___________________________

Person I admire: __________________________________________________

Why? _____________________________________________________

This is what the teacher did last year that I really liked: ____________________

This is what the teacher did last year that bothered me: ___________________

________________________________________________________________

Grade yourself in the following areas:

Neatness A B C D

Organization A B C D

Reading A B C D

Study Skills A B C D

Group Skills A B C D

Initiative A B C D

Writing Sample:

On the following lines, please write a concise paragraph about something you wish the teacher would know about you or something unusual about yourself.