Personal Data Sheet
Name:___________________________________________________________
Email Address: ___________________________________________________
How often do you check your email? _____________________________
Phone (optional): ________________________________________________
Area of Study: (Programming, Networking, Business, etc.):
Reason for Taking this course:
Career Plans (“Trying to figure out what I want to do” is a valid answer)
How many other courses are you taking this quarter? ______________
How many are BIT courses? _____________________________
Are you working in addition to taking classes? (Yes/No) ___________
About how many hours/week? ___________________________
What type of work is it? ___________________________
Is there anything else you feel is important for me to know?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Do I have your permission to publicly post your grades, as long as a secret ID
number, etc., is used to conceal your identity? (Yes/No - if Yes, please sign, as
well)
X
Do I have your permission to take work you’ve done in class, and incorporate it
into class materials, handouts, slides, etc.? I will only do this if I can preserve your
privacy, and only after first notifying you about what, specifically, I would like to
use: Yes / No : If yes, please sign, as well:
X