Semester & Year: ____________________________
(Trig)
Class & Section: _____________________________
Teacher: __________________________________
Name:
Nickname:
Social Security #:
City of residence:
Home phone:
Best time to call:
Work phone:
Best time to call:
Cell phone:
E-mail address:
Placement info (circle one):
a grade of “C” or better in College Algebra (MATH 1204) grade: _____
a score of 24 or higher on the math portion of the ACT score: _____
a score of 46 – 100 on the College Algebra section of the COMPASS score: _____
a score of 0 – 45 on the Trigonometry section of the COMPASS score: _____
Have you taken this class before?
If yes, when & where & what grade did you earn?
Last math course:
Course grade:
Basic attitude about math (BE HONEST):
Degree sought:
Long-term goals:
Hobbies:
Disabilities / problems / math anxiety:
Possible conflicts:
Number of hours you work each week:
Number of credit hours you are taking this semester:
Specific classes you are taking this semester:
Other need to know info:
Year: