Sitka Campus
Student Information Survey

Your Full Name

Course NumberMake a choiceBIOL 111BIOL 112other

SemesterMake a choiceFall 2009Spring 2010other

Phone Number(s)

FAX Number

Primary Email - enter only your primary email address (the one you will check regularly) here

Alternative Email(s) - enter any alternative email addresses here

Mailing Address

Who will be your proctor for the course (name and phone number)? Please be sure to give that person the Proctor Information Form

What Math, Science, and English courses have you taken. Please include both high school and college courses

Why are you taking this course? What are your educational and career goals?

Describe how you will be connecting to the webmeeting. Where will you connect from? (classroom, library, office, kitchen table, etc.) What kind of computer will you be using? What kind of microphone or headset will you have? Do you need one? Do you have a different computer/printer at other times?

Describe your internet connection. Is it a dial-up or higher speed? Are you on wireless? Is it reliable? Do you pay a per-minute fee? If on dialup, include your modem speed, if you know it. Are you concerned that limited internet access will interfere with your ability to succeed in this class? If so, please explain why and we'll try to help.

How are you feeling about the technology involved in the class? Have you used UAS Online or online Discussion Boards in past classes? Have you used Elluminate (WebMeeting) before? It is easy to feel overwhelmed with new technologies - how are you doing?

Is there anything else you would like me to know about you? For example, are you working two jobs and raising three kids while you are trying to complete this course? Are you especially interested in cardiovascular physiology or the brain? Are you back in school for the first time after fifteen years and feeling a bit nervous? Do you like science courses? Do you hate them? Do you know that you will need to miss some classes? Anything else?