Registration Form

 
 


This form provides me with information to help develop the course and to address your individual educational needs. All information will remain private. Please submit this form prior to the third class. Thanks.

Subject:

Email Address :

Name :

U of M 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)

Counselor's name
Counselor's email address (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?



What other kinds or music history or film courses have you taken?

Please describe your computer literacy:
Programmer User Novice What's a computer? / None

Describe your relationship to technology:
Tech Rules! It's a good tool It's all Hype I @#$% HATE it!

What do you think of the class site so far?

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)

Comments about group work / collaborative learning?

Permissions
The instructor has my permission to use my responses to questions on this form (except for id#s and contact information) and on the course Web site in future presentations and publications regarding the use of technology in teaching. And I realize that my response to this question will have no bearing on my grade in this class.

Yes No Maybe, ask me about specific uses later Don't want to answer


Miscellaneous

Your favorite music styles or bands

Your favorite films

Interests (music [styles] plus others)

Please characterize your motivation level for this class:
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:


Ethnicity (family origins):

to send entries to professor

to clear form and start over

 


TOP

HomeFormsMapsCourse InfoCommentsProjectsLinks