Parent Contact Form and Student Interest Questionnaire

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Dear Parents:

From time to time I may wish to contact you with regard to your son's or daughter's progress in the classroom. Please print this webpage, fill in the requested information and return to me.

Thank you. Mr. Harrison

Student's name: ______________________________ Parent's name: _______________________________

Parent's phone number: _______________________ Best time to call: _______________________________

Parent's e-mail address (please print clearly): _______________________________

For the student:

I have read and understand the classroom procedures and promise to abide by the rules set forth.

Student's signature: _______________________________

Please list any academic support classes or mathematics enrichment classes on your schedule.

Course: ____________________ Teacher: ___________________ Period: ____

Student Interest Questionnaire (Optional)

Extra curricular activities (sports, clubs, etc.) you hope to participate in:

What is the most serious obstacle you think you face in your math course in the upcoming year? How can your teacher help you overcome this obstacle?

What is the best attribute a teacher can possess? The worst attribute?

What is your greatest attribute as a student?

List some of your "favorites":

Favorite sports team: ________________________ Favorite author: ________________________

Favorite tv program: _________________________ Favorite recording artist: _________________

Favorite radio station: ______________________ Favorite summer memory: __________________

Other "favorites":