Please fill out this survey for your first homework grade of the year. When writing the condition of your book, please make sure that you are SPECIFIC. I will be using this at the end of the year when you hand in your book incase there are any fines that might need to be issues. Please provide a valid phone number, it will be ckecked within the next week.
First Name:
A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Last Name:
A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Class you are taking now:
Period:
Home Phone:
A value is required.Invalid format.
Parent/Guardians Name:
A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Parent/Guardians Phone Number:
A value is required.Invalid format.
Book Number:
A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.
Book Title:
A value is required.Minimum number of characters not met.Exceeded maximum number of characters.(only letters please)
Condition of Book:
  A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Date of Birth:
A value is required.Invalid format.mm/dd/yy
Math Classes you have previously taken:

Algebra 1
Pre Algebra
Algebra 2
Geometry
PreCalculus
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Created by: jdesclafani
Last Update on: April 26, 2008

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