Biol 104 Student Information Sheet

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Spr11 Biol 130 Student Information Sheet
Name:
Name you preferred to be called in class:
Email address:
Telephone number(s):
Field of study/major:
High School attended:
Number of years at Ohlone:
Do you have internet access at home?
(If internet access is very difficult for you, please indicate.)
What other courses in Science/Biology have you taken? Please indicate where and
approximately when you took the course(s).
What courses at Ohlone or elsewhere are you currently taking besides this class?
Reason(s) for taking course:
If you are not doing well in the class, do you wish the instructor to approach you for discussion?
Please describe any other things about yourself that will help me to know you better—areas of
interest, hobbies, work, background, family, how you best learn things, etc.
FINALLY: please paste in a picture of yourself!
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