STUDENT INFORMATION CARD - University of Pittsburgh

STUDENT INFORMATION SHEET

Class/Time_______________________

Name ______________________________________ Preferred to be called _______________________________

Academic Year (Circle one) FRESH SOPH JR SR

Major/Career Goals _____________________

E-mail Address __________________________________

Local Phone # ____________________ Local Address _______________________________________________

Permanent Address _____________________________________________________________________________

Name of High School ____________________________________________________________________________

Highest High School Math Taken _________________________________________________________________

Did you take the UPJ Math Placement Exam: (circle one)

YES or NO

College math courses completed/attempted and grade achieved ________________________________________

_______________________________________________________________________________________________

Comfort level with mathematics (Circle one)

A) Very Comfortable/Comes Easy B) Comfortable/I Enjoy It C) Somewhat Comfortable/I Work At It

D) Not Very Comfortable/It's Difficult for Me E) Very Uncomfortable/I'd Rather Eat Slugs

Activities/Hobbies

Describe an interesting present that you have recently received (or given)

Something interesting about yourself

Questions??

Place in Black Bin on my office door (Krebs 230B)

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