Name:

Date:

E-mail:

Part 1 - The Basics

1. What is my name?    (3 points possible)

2. When is my birthday? January February March April May JUNE July August September October November December   1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 , (4points possible)

3. I am years old.  (1 point possible)            4. My hair is what color? (1 point possible)

5. My eyes are what color? red brown green teal baby blue yellow white (1 point possible)

6. I was born in , at hospital (4 points possible)

7. My Screen Name on AIM/ AOL is (1 point possible)

8. My Screen name on Yahoo Messenger is (1 point possible)

9. My e-mail address is (1 point possible)

10. I am currently studying at (4 points possible)

Part 2 - More In-depth

11. I graduated from high school in 1997 1998 1999 2000 2001 2002 2003 Never Graduated as a Freshman Sophomore Junior Senior Didn't Graduate (2 points possible)

12. When I was in the sixth grade I was in the school band what instruments did I play? & (4 points possible)

13. My favorite color is      14. My favorite ice cream is (1 point each)

Part 3 - True or False (1 point each)

TRUE        FALSE

                               15. I'm registered to vote

                              16. I'm registered for the draft

                              17. I smoke

                              18. I drink alcoholic beverages

                              19. I'm 5'8" and 138 lbs

                              20. I like fireworks

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