Student Registration
Spring 2010
John Elfrank-Dana

User proper capitalization, e.g. John Smith, not JOHN SMITH or, john smith.
All information will be kept confidential with me (your teacher).

First Name
Last Name
OSIS No.
Teacher's Last Name (refer to your program)
Class Period (refer to your program)
Course Subject BE CAREFUL
You understand that passing all social studies classes is required for graduating.  Check to acknowledge.
E-mail Address:
don't have e-mail? go to www.gmail.com and create one NOW. It's free.
Do you have regular access to a computer online?  Yes or No
Home or Parent Cell Telephone Number
Parent (guardian) e-mail
Parent's (guardian) First Name
Parent's (guardian) Last Name
Home Address & apt #
Home City (Borough)
Home State
Home Zip
Main Language Spoken at Home
I have passed this class already and will be dropping it. Yes - Leave blank if "no"
About You: Please take a few moments and tell me where you'd like to see yourself in 5 years. What would you like to be doing? Also, share your interests (in and out of school).
Your Favorite Teacher: Without mentioning names, briefly describe one of your favorite teachers and what made him/her so.