Course Title____________________________________ Professor_______________
Student’s Name: First Name Mid. Initial Surname
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Preferred nickname_____________________________ Gender: M/he___ F/she___
UVM Email Address____________________________ Phone__________________
Campus mailing address____________________________________________________
UVM Class_______ Fresh__ Soph__ Jr__ Sr__ Grad__ CE__ Fac__ Staff__
Academic major______________________ Academic minor______________________
Academic interests________________________________________________________
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Extracurricular interests/activities ____________________________________________
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Academic background/hands-on experience related to course ______________________
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Places lived, traveled, experiences of different cultures____________________________
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Language abilities and training_______________________________________________
What are your main reasons for taking this course? ________________________________
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What content do you hope to learn/what skills do you want to develop in this course?
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What aspects of the learning process do you find most challenging? Most rewarding?
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What questions/concerns do you have? Do you foresee any difficulties this semester?
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What are some things you’d like me to know about you as a student and as a person?
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