Kinnaman Info Sheet

Name ______________________________ Course ____________________ Per

___________

What is your preferred device? (iPhone, Droid, Kindle, PC, Mac, etc.)
______________________________________
Gender: M F
Home Phone__________________
Cell Phone (not required) ________________________
Room 12 computer # ___________________________ Please attach a
Book # _______________________________________ picture of yourself

Parent/Guardian (Primary contact):

Name ____________________________________Home Phone ___________________
Relation to you __________________________________________________________
Workplace ____________________ Work Phone ___________________
***e-mail _______________________________________________________________

Parent/Guardian (other):
Name ____________________________________Home Phone ___________________
Relation to you __________________________________________________________
Workplace ____________________ Work Phone ___________________
***e-mail _______________________________________________________________

***I approve of my student using online resources provided by Schoology.com and the
creation of an individual account for using classroom resources located within the
Schoology web-based resources.
Schoology group code
_________________________________________________________
Parent Signature
_____________________________________________________________
(Parents can access Schoology using the parent code offered through the student page)
I __________________ agree:
 To use Schoology for the sharing of knowledge, to reflect on ideas, and to contribute to my classmates’ critical
thinking.
 To contribute to our online community as a safe environment for people to share ideas and practice good
“netiquette”: understanding that emotional outbursts, name-calling, and other deliberate insults are outlawed.
 This media is an extension of the classroom instruction and discussion.
 Schoology and any other venue for web-based discussion are for academic use ONLY. (Any other use/application
will be considered a violation of the school’s technology use agreement)
 All posting and student writing will be assessed using Standard English grading for mechanics – quality is
expected…. 8ecause tHiS iS LiKe SuPeR AnNoYiNg! I acknowledge that I am not Ke$ha. (please do not use
symbols or a smiley face in your name, K?!)
***Student Signature
____________________________________________________________________

What social network(s) are you a part of?

_________________________________________
Favorite Podcast(s)
___________________________________________________________
____________________________________________________________________________
Favorite Show(s)
_____________________________________________________________
Favorite sports team(s)
________________________________________________________

How do you keep up with the news? (circle all that apply to you)
Read news magazines (Time, NYTimes, Atlantic,etc) Read the Newspaper
TV: 2,6,7, CNN,FOX,MSNBC Internet Headlines ie. Google
Late Night TV: Fallon, Jimmie Apps: Newser, Snapchat, Twitter,
etc.
Kimmel, Colbert, etc.

Favorite Music (what would I find on your “most frequently or recently

played” list?)
_____________________________________________________________________________
Favorite school subject
_________________________________________________________
Interests/hobbies/school
activities________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Do you have a job? If so, where?
________________________________________________
What time do you normally go to bed at night?
_____________________________________
Why did you choose MMACHS?
_________________________________________________
_____________________________________________________________________________
***Something Mr.K needs to know about me is…
___________________________________
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Kinnaman Notes:
(leave blank)
Date Details
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