Student Information Sheet

Course & Section:

Semester:

Year:

Personal Information (indicate which name you prefer to be called)

Name:

Email:

SS#:

Phone #:

Landrum Box:

Classification: FR SO JR SR

Current GPA:

Major:

High School Information

Name of High School:

City, State:

Year Graduated:

Math Courses

Year Taken

Grade, A, B, C, D, F

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College Information

Math Courses

Quarter (Semester) Taken

Instructor

Grade, A, B, C, D, F

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Other information:

 

I have read and understand all the policies and procedures as stated in the course syllabus and agree to abide by them.

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