Student Information
(please print)
Student
name_____________________________
Mentor
Teacher________________________________________________
Include a picture of yourself here
Fill in your current schedule
| |
Class |
Teacher |
Room # |
Other info |
| Period 1 |
|
|
|
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| Period 2 |
|
|
|
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| Period 3 |
|
|
|
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| Period 4 |
|
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|
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***If your schedule changes, you must place your new schedule in
your folder!
Other information
Home phone number_________________
Mobile number__________________
Beeper number_____________________ Other
number___________________
Mother/guardian's name____________________
phone number______________
Work number___________________________other
number________________
Father/guardian's name____________________
phone number______________
Work number___________________________other
number________________
|
