Seor K

Espaol
Personal Information Card
1. Name: ____________________________
2. Grade: ______________________________ Hour:_________________
3. Parent/Guardian name #1 and relationship to you:
________________________________________________________________________
Parent/Guardian phone number: _____________________________________________
Parent/Guardian email address __________________________________________
4. Parent/Guardian name #2 and relationship to you:
_____________________________________________________________________
Parent/Guardian phone number: _____________________________________________
Parent/Guardian email address: __________________________________________
5. What language(s) do you speak at home? ____________________________________
________________________________________________________________________
6. Can you read, write, speak, or understand a conversation in Spanish, or are you a native speaker?
Circle any that apply to you or write no. _____________
7. What are your hopes, goals and/or expectations for this class? ___________________
________________________________________________________________________
________________________________________________________________________
8. Do you have a computer at home? _____________Yes _______________No
9. Do you have access to the Internet at home? ____________Yes_______________No
10. Do you have permission to use the Internet at home for school work?
_________Yes _______________No
11. Do you have any food allergies? If so, please list them. _______________________
________________________________________________________________________
12. Please list any other concerns, questions, or comments that you might have that are relevant to this
class. (For example, you need to sit close to the board).
________________________________________________________________________
________________________________________________________________________