Beruflich Dokumente
Kultur Dokumente
English
__________________________________________________
Birthday______________________
ZIP
Code
________________
What are the names of your parents/guardians that you live with?
FEMALE:
MALE:
____________________________________________ ____________________________________________
___
______
Relationship:
__________________________________________
Relationship:
__________________________________________
Daytime
Phone: Daytime
Phone:
________________________________________
________________________________________
Email:
Email:
____________________________________________ ____________________________________________
_______
_______
What are the names and ages of the other people that you live with?
NAME: _________________________________________________
_____________________
AGE:
NAME: _________________________________________________
_____________________
AGE:
NAME: _________________________________________________
_____________________
AGE:
NAME: _________________________________________________
_____________________
AGE:
NAME: _________________________________________________
_____________________
AGE:
NAME: _________________________________________________
_____________________
AGE:
What are the names of any parent(s) that do not live with you, but are important to you?
FEMALE: _________________________________________________________________
____________________________
PHONE:
MALE: ____________________________________________________________________
____________________________
PHONE:
Who
was
your
English/ESL
teacher
__________________________________________________________________
last
School:
_____________________________________________________
______________ Final Exam: _________
How
many
years
have
you
been
______________________________________________________________
Average
studying
year?
Grades:
English?
(This gives me an idea of what to expect from you please be honest! I can look this up.)
Favorite Subject _________________________________________
Least Favorite Subject
_________________________________
What are some activities/topics that you liked learning about last year?
What are some activities/topics that you didnt like learning about last year?
Middle
Y
Back
/
What time do you get home from school? What do you do when you get home?