Please fill out all of the following data and click the "Submit" button when you are finished.
The fields that have a blue asterisk (*) are required. If you leave any of these blank, you will get an error when you try to submit the page. If this happens, user your browser's "Back" button, fill in the missing information, and resubmit.
Note that javascript must be enabled in your browser.
Fill in your First and Last names the way you actually use them.
Which class are you in?: A block Honors Physics 1 B block Honors Physics 2 D block CP1 (Regular) Physics 1 E block Honors Physics 1 G block Honors Physics 1 other or N/A * [Required]
Advisory room: Class of: 2025 2026 2027 2028 * [Required] Student ID #:
Guidance counselor Ms. Hart Ms. Merz Mr. Wilkins Ms. Molea Mr. Benecke Ms. Flamer Ms. Baletsa I don't know * [Required]
Gender: male female non-binary other: Other (if not listed):
Pronouns: * [Required] he / him / his she / her / her they / them / their other: * [Required] Other (if not listed):
Is there anything I should know about using these pronouns in class, with your caretaker (parent/guardian/etc.), or anyplace else?
Date of birth: January February March April May June July August September October November December , 2003 2004 2005 2006 2007 2008
Primary language: * [Required] English Spanish Albanian Arabic Bengali Burmese Chinese Farsi French Greek Haitian Creole Hindi Khmer Lao Luganda Portuguese Pushto Russian Samoan Serbian Swahili Twi Ukranian Vietnamese Yoruba Zulu Other * [Required]
If you selected a language other than English above, do you speak English reasonably proficiently? yes no
School Email: * [Required]
Personal Email: Please double-check that you have typed your email address(es) correctly!
Preferred email address: * [Required] School Personal * [Required]
Phone number: (optional) Please enter phone numbers with no spaces, dashes or anything else, as shown. Otherwise the form will give you an error.
Address:
I often take pictures of students taking part in experiments or activities. If I take a picture of a lab or activity that you appear in, may I include the picture (without your name) in things that might be seen by other people, such as a blog post?
yes show me the picture and ask no, never
Regardless of the above, if I think you might object to a particular picture, regardless of whether or not I might consider showing it to anyone else, I will either delete it or show it to you first and ask you about it.
How do you feel about being cold-called on in class? (This is when the teacher chooses you to answer a question instead of asking for a volunteer.)
Please list your most recent math and science classes and how well you did in them (to the best of your recollection). This will give me an idea of where your strengths are and where you might need help.
Please tell me something that you're particularly proud of.
Please tell me what you're most worried/concerned about when you take physics.
Are there accommodations (such as extra time, help with organizing, etc.) that you feel you need in order to be successful? Please list whatever you think you might need, regardless of whether or not you have an IEP or section 504 plan.
If any of your relatives (brother, sister, cousin, etc.) graduated in 2012 or later and took one of my classes, please tell me their name and either when they took my class or when they graduated. (If you don't know, your best guess is fine.)
What superpower(s) do you have or wish you had?
What other things would it be good for me to know in order to help you be successful?
The fields that have a blue asterisk (*) are required. If you leave any of these blank, you will get an error message when you try to submit the page.
If you get an error message, find and fill in the missing information, and resubmit.
Note that using the "back" button will not work in Microsoft Internet Explorer and Microsoft Edge, because these browsers reset the form when you go back.
Would you like to receive a copy of the email message generated by this form? yes no Note: This will be sent to your school email and it will work only if your email address is correct at the top of this from.
URI of this page: https://mrbigler.com/documents/info-form.shtml Last updated: 7 Sep 2024 by Mr. Bigler Date of access (today's date): 21 Dec 2024 HTTP Referrer: (none) Privacy Policy: mrbigler.com/privacy.shtml
Copyright © 2004-2024 Jeff Bigler Unless otherwise stated, all content on this website is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. This license gives you permission to copy, share and/or adapt content from this site in whole or in part for any non-commercial purpose, with appropriate attribution, provided that you distribute it under an identical license.