SDS192: Pre-Course Questionnaire
Fall 2021
Sign in to Google to save your progress. Learn more
What is your last name?
What is your first name as it appears in Moodle?
By what first name would you like to be addressed? Please address me as "Professor Kim."
Pronouns
Clear selection
What is your academic email? Ex: akim04@smith.edu
What is your ID number? It is 99 followed by 7 digits. Please be very careful to type this in correctly. Ex: 990022020
Class Year
If you have officially declared your major, please indicate department/program codes. Ex: SDS or SDS/PSY. Otherwise skip
If you have officially declared a minor, please indicate department/program codes. Ex: SDS or SDS/PSY. Otherwise skip
Are you a pre-med student?
Clear selection
(Optional) If you are on Twitter, what is your username? Mine is @rudeboybert while SDS's is @SmithCollegeSDS
(Optional) Link to LinkedIn profile
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report