Please fill out all of the following data and click the "Submit" button
when you are finished. Fields marked with a blue
asterisk (*) are required.
What name do you want me to call you in class?
Alias (code name) for posted grades:
Grades are posted in the classroom. Your grades will be listed under your
student ID number and this alias so you can find them more easily. (Don't
stress about what to pick--you can change it any time you want by just telling
Which class are you in?:*
Physics 1 (D block)
Physics 1 (F block)
AP Physics 1 (B block)
AP Physics 1 (G block)
AP Physics 2 (C block)
Student ID #:
Date of birth:
Other (if not listed):
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Guardian's primary language:
Other (if not listed):
If I take a picture of a lab or activity that includes you, may I use the
picture (without your name) in a post on my blog (www.mrbigler.com/blog)?
Please list your most recent math and science classes and your final grades
in both (to the best of your recollection). This will give me an idea of
where your strengths are and where you might need help.
Please list anything besides academics that will be making demands on your
time (sports, jobs, activities, family obligations, etc.). Please mention
which days of the week are affected, if relevant.
Please fill in the following table with the approximate number of hours you
spend on each type of activity in a typical week. If you use the TAB key to
move from one cell to the next, your browser will calculate the total number of
hours as you type.
Time Commitments: hours/week.
How often are you stressed because of your schedule?
Please tell me anything you're particularly proud of and would like me to
Please tell me what you're most worried/concerned about when you take
Are there any accommodations (such as extra time, help with
organizing, etc.) that you feel you need in order to be
successful? Please list everything that you think you need,
regardless of whether or not you have an IEP or section 504
Please describe anything else you think I should know in order to help you
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URI of this page:
Last updated: 22 Dec 2016 by
Date of access (today's date):
27 Jul 2017
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