Student Profile Form
Found in Teaching & Advising > Getting Started - The First Week of Class
| Completing this form is completely voluntary. It seeks information that will enable the professor to more effectively meet your learning needs. All information provided will be maintained in strict confidence by the professor. |
| Name
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Box No. ____________________________________________________________________________________ Phone No.__________________________________ E-mail ___________________________________________ Goal in taking course __________________________________________________________________________ Ultimate educational goal _______________________________________________________________________ If employed, position __________________________________________________________________________ Personal accomplishments ______________________________________________________________________ ___________________________________________________________________________________________ Hobbies/interests _____________________________________________________________________________ ___________________________________________________________________________________________ Memorable learning experience ___________________________________________________________________ ___________________________________________________________________________________________ How do you learn best? ________________________________________________________________________ Learning challenges ___________________________________________________________________________ Other questions/comments:
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| [Optional]
_____________________________________ Signature (denotes receipt of syllabus) |
| Source: Lyons, Richard, Kysilka, Marcella, Pawlas, George, The Adjunct Professor's Guide to Success, Allyn & Bacon, Needham Heights, MA, 1999. |