Student Information Sheet

French 1A-Homestudy: Spring semester, 2006

Please print or write neatly.

Name _______________________________ Phone numbers: day ______________ evening _______________________________ ____________________________________________________________________________________________________

Address _______________________________ City_____________ Zip_________

Text Box: I have read the course syllabi for French 1A and the lab course, French 11A, and agree to abide by the policies of the class. _____________________________________ _________________ signature date E-mail address: ________________________________________________________________________________________

Please list your previous experience with French. (courses, travel, personal experience)____________________________

____________________________________________________________________________________________________

Why did you take this course? (Check all that apply.)

_____ for units toward an AA or AS degree

_____ to satisfy a foreign language requirement at a transfer institution

_____ to satisfy a humanities or general ed requirement at a transfer institution

_____ counselor recommendation

_____ friend's recommendation

_____ for my own pleasure and knowledge

_____ useful for my current job

_____ useful for my future career or profession which is:_______________________

_____ other: _____________________________

What do you want to learn from this class?_______________________________________________________________

____________________________________________________________________________________________________

How many units are you taking this semester including this class? ___________

Please list the other classes you are currently enrolled in. ___________________________________________________

____________________________________________________________________________________________________

Are you currently working outside the home? _____ How many hours per week? _____ Where?________________

Do you own or have access to the following?

_____ computer (MacIntosh or PC? ______) _____ portable CD player

In the space that remains, please tell me something about yourself. Use the back of the paper if you need more room.

____________________________________________________________________________________________________

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