Student Information Sheet

Central High School of Philadelphia

World History Period _______

(Please print)

Full Name _________________________________________ Nickname __________________

Home Phone ____________________ Parent(s) Cell Phone ___________________________
Birthday ______________________________
Parent/Guardian’s Name(s) _______________________________________________________
______________________________________________________________________________
Parent/Guardian’s Job(s) _________________________________________________________
Any Siblings (please give ages) ____________________________________________________
______________________________________________________________________________
Who do you live with? ___________________________________________________________
School Attended in 2017-2018 SY ________________________________________________________

What is your favorite subject in school? _____________________________________________

What is your least favorite subject? _______________________________________________
What do you like to do after school?

What was the last good book your read? _____________________________________________

Please turn over and continue filling out this form…..

What did you like about Social Studies last year?

What didn’t you like about Social Studies last year?

What is one goal you have for this school year?

What is something you would like to improve this school year?

 Inventory of Experiences:
1. What sports do you like to play?

2. What team sports do you participate in? (in or out of school)

3. Do you belong to any outside clubs or groups such as scouts or 4-H?

4. Do you have any pets? If yes, then what kinds?

5. What are your favorite TV shows to watch?

6. What are your favorite movies?

7. If you have a day off what do you like to do for fun?

8. What places (cities/states/countries) have you traveled to? List as many as you can…

9. Tell me one thing that really makes you happy…

10. Tell me one thing you worry about…

11. Tell me one thing you really don’t like…

 12. What do you think you want to be someday when you grow up? Any ideas??

13. Tell me what you think of reading…

14. Tell me what you think of writing…

15. Tell me something about yourself that you find unique (different)…

16. Favorites…

Favorite food____________________ Favorite Musical Group _____________________

Favorite TV Show ____________________ Favorite Book _________________________

Favorite Friends ___________________________________________________________

Favorite Holiday to celebrate _________________________________________________

Favorite place to visit _______________________________________________________

Favorite color ______________ Favorite place to shop ____________________________

Favorite website ____________________ Favorite season of the year __________________

17. Technology survey…

Does your family have a computer? YES or NO

Does your family have internet access? YES or NO

Can you print documents from your home computer? YES or NO

Do you have your own cell phone? YES or NO

Do you know how to send text messages? YES or NO

Do you know how to use your Hamburg email address? YES or NO

How often do you think you used this email address last year? _______________________

Do you know how to email a teacher from your Hamburg email? YES or NO

Do you use any social media sites such as twitter or Instagram? YES or NO

Do you know your Hamburg Email address?

If yes what is it? _______________________________