_________________________________________
LAST NAME,
FIRST NAME
Semester: ____________________ Phone: _____________________________ Class: ____________________ Email: _____________________________
Place a photo
of yourself here.
(worth 5 bonus
points)
Due: 2nd class
1. What was the last English class that youve taken? ______________________________ 2. Did you place into English 100? (circle one) YES NO 3. Is English your second language? (circle one) YES NO If yes, what is your first language? ________________________ 4. Are you comfortable using the English language? (circle one) YES NO If no, what causes you the most discomfort? ____________________________________ 5. What high school did you attend & when did you graduate? ___________________________ 6. Is this your first semester in college? (circle one) YES NO If no, how much college experience have you had? ________________________________________________________________________ 7. How many credits are you taking this semester? ________ 8. Do you have a job this semester? (circle one) YES NO If yes, approximately how many hours a week will you be working? ________ 9. Do you have any other responsibilities that might distract you from your studies this semester? (circle one) YES NO If yes, explain. ___________________________________________________________ 10. What is the best way for you to learn new information? (rank in order; 1= best) Visual ________ Auditory ________ Kinesthetic ________
11. What are your educational and career goals? 12. What are your talents and strengths? 13. What are your hobbies and interests? 14. What are your three favorite books or movies? 15. What do you think about history? 16. Have you had any travel experience? If so, where? 17. Why are you taking this particular class (i.e. subject, time, instructor)? 18. Is there anything else that youd like to tell me about yourself (i.e. ethnicity, family, religion)?