Student
ID#
Are you registered for MHM408/508?
Yes
No Wait-listed
Local Daytime
Phone
How many times per day do you check your
email?
School/Local/Campus address
Permanent/Summer/home address (if
different)
School or College
Year (click here to select)
Freshman
Sophomore
Junior
Senior
Master's student
Doctoral student
Counselor name
Counselor's phone number (if known)
Major
Career
Goals
How did you find out about this class?
Reason(s) for taking this class:
What do you hope to learn in this class?
What skills, contacts, information, or other
resources can you offer the class?
Do you play an instrument or
sing?
Are you interested in performing in a class
recital?
Yes
No
What other kinds or music history courses have
you taken?
Can you write HTML code for a Web site and
post it to the server?
Yes
Yes,
but "with a little help from my friends"
No
Group Work
How would you describe your work with project
groups and collaborative learning in the
past?
(click here to
select)
Positive
Okay
Mediocre
Negative
Comments about group work / collaborative
learning?
Miscellaneous
Your favorite music styles and
bands
Your least favorite music and
bands
Interests (music [styles] plus
others)
Please characterize your motivation level for
this class:
Highly Motivated
Curious
Average
Not excited about class
Unmotivated
What grade do you expect to receive in this
class?
A
B
C D
plus
(+)
none
minus
(-)
Optional Questions for class
demographics:
Gender: female
male
Age: GPA:
Race:
Ethnicity (family
origins):