STUDENT INFORMATION SHEET (PLEASE PRINT USING CAPS)

 

Name: Year in school(circle): Jr. Sr.

 

Teacher: Wenning Course: Physics Time: 8:00 AM

 

Street Address:

 

Town and Zip:

 

Names of Parents:

 

Home Phone: ( ) P.H.A.S.E.:

 

Birth Date: / / SSN: - -

(mo/day/yr)

 

Math courses and grades you have or are now taking:

 

 

Science courses and grades you have or are now taking:

 

 

Extracurricular activities you will (or may) participate in this year. Include clubs, teams, band, choir, athletics, student senate, cheer leading, and any others:

 

 

 

 

After-school job? (circle) YES NO Hours per week worked:

 

Number of school nights (Sunday through Thursday) you work:

 

Do you have any handicaps which might affect your work in physics that I should know about? If any, please note briefly:

 

 

 

What are your plans after you graduate from UHS? Be specific.

 

 

 

Explain why you have chosen to take Physics.

 

 

Return to Physics Teaching Resources.