STUDENT INFORMATION SHEET (PLEASE PRINT USING CAPS)

Name: Year in school(circle): Jr. Sr.

Teacher: Wenning Course: Physics Time: 8:00 AM

Street Address:

Town and Zip:

Names of Parents:

Home Phone: ( ) P.H.A.S.E.:

Birth Date: / / SSN: - -

(mo/day/yr)

Math courses and grades you have or are now taking:

Science courses and grades you have or are now taking:

Extracurricular activities you will (or may) participate in this year. Include clubs, teams, band, choir, athletics, student senate, cheer leading, and any others:

After-school job? (circle) YES NO Hours per week worked:

Number of school nights (Sunday through Thursday) you work:

Do you have any handicaps which might affect your work in physics that I should know about? If any, please note briefly:

What are your plans after you graduate from UHS? Be specific.

Explain why you have chosen to take Physics.

Return to Physics Teaching Resources.