Student Information Sheet

Student Information (please write clearly)

Name:                                                                                                                                      

Age:                  Grade:                                       Student School ID Number:                                                                                                         

Medical Problems I Should Be Aware Of:                                                                                       

Parent/Guardian Information

1)     Name:                                                                                                                          

Relationship to Student:                                                                                                  

Occupation:                                            Place of Employment:                                         

Preferred Phone:                          _____    Alternate Phone:                                    

Email Address:   _______________________                                             

2)     Name:                                                                                                                          

Relationship to Student:                                                                                                  

Occupation:                                            Place of Employment:                                         

Preferred Phone:                          _____    Alternate Phone:                                    

Email Address:   _______________________                                             

**If you would like to receive class notifications via text,

please text the phrase “@44cd” to 678-905-8082.

Extracurricular Information

What grade is your child striving for this semester?   __________________________________________

Does your child see a tutor regularly?                      If so, in what subjects?                                        

Does your child work part-time?                            If yes, where?                                                     

List any extracurricular activities in which your child is involved:                                                       

                                                                                                                                               

Other information that you feel would be helpful to me in teaching your child  (strengths/weaknesses):                   

                                                                                                ____________________________________

I have received a copy of the AP Art History course syllabus & agree to abide by the rules of this course.

Parent Signature:                                                                                     Date:                            

Student Signature:                                                                                   Date: