____________________________ ____________________________

             (Last name, first name) (Hometown, state)

Local telephone:_________________ G.P.A:___________

E-mail address:__________________

Semester Standing:____ Major:_________________

Other related courses completed:

How would you rate your computer skills on a scale of 1 to 5 with 5 meaning that you can do most anything you want on a computer:

1         2         3         4         5

Do you work part time? Hours per week____________

Extra-curricular activities? Hours per week___________

Why did you decide to take this course?

What do you expect to learn from it?

What are your career plans/goals?

What are the most important things I need to know about you as student and colleague?