Student Information Sheet

Class: CS-12J             Section # 37282              Fall 2004

Name:_____________________________________________________________

Contact Information:

Email:_______________________________________________________

Phone number:________________________________________________

Grading Option (circle one): Letter grade or Credit/No-Credit

Do you have any physical or learning disabilities that I should be aware of?

Why did you take this course rather than CS-11?

What do you hope to gain from taking this course?

Please attach a photo, drawing or other likeness to this sheet. Alternatively, please describe yourself so the instructor can identify you easily (e.g. "I'm the one with purple hair"). Do not attach a copy of your driver's license or any other document containing private information.