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STUDENT INFORMATION SHEET

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NAME:______________________      Student ID #: ________________________

PHONE:________________   LM:_____         EMAIL:______________________

MAJOR:________________________         Newsletter:____Yes   _____No

Previous classes that were taken and grades.   If taken in High School, then put HS.

Classes                          Grades

•  Are you repeating this course?   If so, what topics for you were difficult?

•  Other responsibilities this semester:

I have read the syllabus and understand what is expected to pass this course.

Signature:_________________________________________ Date:__________