Student Information
Course:
Name:(Nickname, Alias, How do you want to be known in class? etc.)
Social Security Number:
Campus email address:
Other email address:
Year:
freshman
sophmore
junior
senior
graduate student
Other
Major:
Computer Science
Business
Education
Social Work
Anthropology
Art
Biology
Chemistry
Design
Engineering
English
Environmental Science
Geology
History
Languages
Life Science
Mass Communications
Mathematics
Music
Physics
Political Science
Psychology
Sociology
Spanish
Theater
Are you currently employed? Where?
What else (beyond this course) are you involved with this semester?
What concerns do you have relative to this course?
What are the highlights/lowlights of your summer?
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written by Wayne Summers
summers_wayne@ColumbusState.edu
