Student Information Form

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John I. Brooks III
Student Information Form

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Please complete the following form. The information you provide will help the instructor better understand and teach students. The contact information will be used in the event of a class cancellation, excessive student absence, or other situation requiring the instructor to contact students. None of this information will be given to anyone else without the student's permission.

If you have recently completed this form online for another of John Brooks's classes, you may complete only the information that has changed. Indicate which course you are now taking (Item 25) and in "Other Comments or Suggestions" (Item 40) the class and term for which you earlier completed the form.

CAUTION: Use the Tab key or click with your mouse to move from field to field. If you hit Return/Enter, you will submit the information entered, perhaps before you have completed the form! At the end of the form is a Submit button to use when you have filled in all the information.

Locator Information

1. Last Name:
2. First Name:
3. Middle Initial:
4. Suffix (e.g., Jr., III)
5. Preferred Name (e.g., nickname):
6. FSU ID No. (like this: 000-00-0000):
7. Local Address 1:
8. Local Address 2:
9. Local Address City:
10. Local Address State:
11. Local Address Zip:
12. Phone (include area code):
13. E-mail Address:
14. Do you live on campus (check if yes)?
15. Extenuating circumstances (things that might affect your ability to attend class--job, child care, military duty, etc.)

Academic Background and Interest in History

16. Class

17. Graduating this term? (check if yes)

18. Major

Other:

19. Minor

Other:

20. Academic Advisor

21. What degree are you currently seeking?

22. Previous history courses

23. How would you describe your interest in history?

Like a lot
Like a little
Neither like nor dislike
Dislike a little
Dislike a lot

24. Do you have a favorite time and place in history? If so, what is it?

25. What course are you taking?

26. Why are you taking this course?

Core Requirement
Major/Minor Requirement
Elective

27. What would you most like to learn in this course?

Technology Use Information

28. How often do you use a computer?

Less than once per month
Several times per month
Several times per week
Every day

29. Where do you have access to a computer? (Check all that apply)

At home
At work
On campus
Through a friend/relative
Other:

30. Which of the following campus computer facilities have you used? (check all that apply)

Chesnutt Library
Chick Building
SBE Computer Lab
Social Science Computing Lab
Other:

31. What type(s) of application(s) do you commonly use? (Check all that apply

Word processing
Spreadsheets
Databases
Internet access
Computer video
Other:

32. Through which of the following commercial providers do you have Internet access at home?

None
America Online
Compuserve
Microsoft Network
Prodigy
Netcom
Other
Other:

33. Which of the following Internet resources have you used? (Check all that apply?

Telnet
FTP
World Wide Web
Other:

Stongly agree

Somewhat agree

Somewhat disagree

Strongly disagree

No opinion

34. I am intimidated by computers.

35. I am knowledgeable about computers.

36. I possess good Internet research skills.

37. I possess good typing skills.

38. I use e-mail on a regular basis.

39. I use the World Wide Web on a regular basis.

Other Comments or Suggestions

40. Use the space below for any other comments or suggestions you may have. Ask the instructor for any additional information.

When you are satisfied with your responses, click on the Submit button. If you would like to start over or complete the Form at another time, click the Reset button. Then use the Back button on your browser to return to the page from which you accessed this form.