Name:     Lunch Number: 
 
    Nickname: 

Student Information Sheet

Short Answer
 

1. 

Please Type Your E-mail Address
 

2. 

Address:
 

3. 

Phone Number:
 

4. 

Parent’s Name
 

5. 

Parent’s Work Number
 

6. 

Parent’s E-mail Address
 

7. 

List at least 3 hobbies or interests that you have.
 

8. 

What is the most interesting part of science to you?
 

9. 

What part of science is the least interesting to you?
 

10. 

What do you think you want to do as an adult?
 

11. 

List any allergies or other medical conditions that may affect your performance in labs.
 

12. 

What topic(s) do you most hope we cover in this class?
 

13. 

What other schools (besides Pisgah) have you attended?
 

14. 

What is your favorite color?
 

15. 

What is your favorite movie?
 

16. 

What is your favorite TV show?
 

Multiple Choice
Identify the letter of the choice that best completes the statement or answers the question.
 

17. 

Do you have internet access at your home that you can use daily?
a.
Yes
b.
No
 

18. 

Do you have the ability to access the internet at least once per week?
a.
Yes
b.
No
 



 
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