Student Info Sheet – M. SUCHMA - science

Student’s Name: ______

Things I would work for at school: (Number your first 5 choices) ___ Time to read a book ___ Go to the library ___ Computer time ___ Help with a bulletin board ___ Good phone call home ___ Good email home ___ Drawing time ___ Free daily grade pass ___ 5 bonus points on a test ___ Candy/prizes ___ other:______

What sports/activities/clubs do you plan on joining? ______------Parents or Guardians, please fill out the following useful information so that I may better serve and successfully teach your child this year. Thank you very much for your time. ~Mrs. Suchma~

Parent or Guardian name(s): ______Relationship to child: ______

Please include the following contact information, and check the box that you would like me to contact you by first: □ Home Phone: ______□ Cell Phone: ______□ Work Phone: ______□ E-mail: ______

What does your child LOVE, and/or what motivates your child (activities, interests, special people, cell phones, video games, rewards, etc.)? ______

What language is primarily spoken at home? ______If not English, would I need an interpreter to call you?: ______

Please give any other information that you think your child’s teacher should know. Please note that this information will be kept strictly confidential. ______

______Parent Signature If you and/or your child would like to be added to my Remind 101 text group, please list the phone numbers to be included below: