Student Form

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Student Form

STUDENT NAME *

PARENT NAME *

ADDRESS *

CITY *

STATE *

ZIP CODE *

What has been your biggest accomplishment in life? *

What has been your biggest accomplishment in school? *

What are you most proud of? Please explain why *

What do you want to do as a career? Please explain why *

What is your favorite sport *

Who is your favorite athlete? *

What is your favorite game? *

What is your favorite food? *

What is your favorite restaurant? *

What is your favorite toy of all time? Please explain why *

What is your favorite TV show? *

Who is your favorite TV character? Please explain why *

Who is your favorite music artist? *

What is your favorite song of all time? Please explain why *

What do you like most about school? *

What do you dislike most about school?

What type of student do you consider yourself *

EXCELLENT

GOOD

AVERAGE

BELOW AVERAGE

What is your least favorite subject? Please explain why *

Please tell us how do you learn best, select up to two: *

I learn best by hearing

I learn best by seeing

I learn best by touching and feeling

I learn best by doing

I learn best alone

I learn best in groups

What is your favorite day of the week? Please explain why *

What is your favorite thing to do on a Saturday? Please explain why *

What are you best at? *

Please list in order of importance which you would rather receive for a job well done. Praise Money Award Recognition *

Who is your favorite teacher of ALL-TIME? Please explain why *

Who is your least favorite teacher of ALL-TIME? Please explain why *

Who is your best friend? Please explain why

Please list 3 things you like about people *

Please list 3 things you dislike about people *

What do you like most about yourself? *

In 50 words or less plaese tell CLUB X U what you expect from us. *

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