Student Info Pages Katianne Format

STUDENT/PARENT INFORMATION FORM Parents and Students, Attached are class guidelines, grading scale and calendar. Please keep them for future reference. Please be aware that students will also be responsible for notes given in class which will sometimes contain extra material. On the form below, please check to make sure that your child has filled in the correct information and that nothing is missing. I hope we can work together to make this a productive semester. Please use the information on the front of this letter to contact me if you have any questions Holly Sullivan Syllabus Checklist: Check that you have read and understand the course requirements for each of the following. ______ Required materials. ______ Class room Discipline Policy ______ Grading System and calendar. Student Information: Name________________________________________________________________________________ Address_____________________________________________________________________________ City _____________________Zip ______________Home Phone________________________________ Fill in your schedule below: (Don’t worry about room numbers if you don’t know them) Block Course Teacher/Rm

1 2 3 4 Parent Information: Please fill this out according to the parent(s) that you live with. Mother/Step Mother/Guardian_________________________________________________________ Place of employment_______________________________ Work Number______________________ Home Email__________________________________ Work Email____________________________ Father/Step Father/Guardian___________________________________________________________ Place of employment_______________________________ Work Number______________________ Home Email__________________________________ Work Email____________________________ Parent/Student Signature: Please sign below that the information recorded above is correct and complete. Please understand that if any information is incomplete or if it changes with out notification to the school, it is nearly impossible for you to be contacted should there be a difficulty. Parent /Guardian Signature _____________________________________________Date__________ Student Signature ____________________________________________Date___________ Please don’t forget to e-mail me so you can receive periodic updates.