LTEC 3010 Student Information Survey - Spring 2017
Please complete the following student information form for Dr. Pasquini's LTEC 3010 Fall 2016 course by Tuesday, January 24th, 2017 before 11:59 pm CST for 5 points. This information is private/confidential, and will only be viewed by the instructor and designated teaching assistants. NOTE: Also complete the 50-mile form in the Orientation Module. Thank you! FORM LINK:
What LTEC 3010 course SECTION are you registered for Spring 2017 with Dr. Pasquini? *
First Name *
Your answer
Last Name *
Your answer
Preferred First Name
Your answer
Preferred E-mail Address *
(Where you will actually check your e-mail)
Your answer
Phone Number *
(Where I can call you if needed)
Your answer
Can you accept text on the phone number listed above? *
Please indicate "yes" or "no" if you can receive text messages.
Are you an experienced Blackboard Learn user? *
What Are You Studying? *
List your major, minor, etc.
Your answer
What are 3 social media platforms you most frequently use? *
Frequent = Daily/Weekly. Please check 3 sites/applications listed below.
Careers Goals *
List any and all possible occupations and careers you are interested in.
Your answer
Work/Professional Experience *
Please share your work/professional experiences. This might include job titles and/or include experiences in clubs and organizations where you held a leadership/volunteer position.
Your answer
What do you want to learn in our LTEC 3010 course during the semester? *
How can I tailor this class to challenge and support your learning?
Your answer
Other Questions or Comments for Your Instructor?
Your answer
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