Student Information Sheet       Spring 2012: Jacquie Fernández, instructor
Due January 22 for Written Assignment Credit (10 points)!

Your Name:	
Your Academic Major or Area of Interest:
Math History:  Please list the math classes you have taken, where you took them, and when.
	(Example:  MAT 082 Fundamentals of Mathematics; Yavapai College, Fall 2010)
1.
2.
Please complete the following sentences:

Course Goals:
1.	I enrolled in this course because……

2.	My goals for this course are……

3.	The days of the week and times I have set aside for mathematics homework/study are…..

Learning Mathematics:
4.	 In mathematics, I am good at…….

5.	 In mathematics, I need help with…..

6.	I learn mathematics best when I……

Other Information:
7.	 Have you taken online courses before or is this your first online course?  How would you rate your comfort level with online courses?

8.	 If you have a full or part time job, about how many hours a week do you work?

9.	Any other information you would like to provide that will help me get to know you?

Save this file in rich text format with the following name: YourLastName MAT 092 Student Info Sheet. Email to jfern001@instructor.yc.edu by due date for homework credit!