Name:
Address:
Telephone:
(Day):
(Night):
Work:
Place of Work (if any):
Nature of Work (What do you do?):
Prior Experience relevant to this course:
Education:
I am a(n) student.
Prior Education (Degrees - subject and school):
Future Plans:
Career Aspirations (type of work and kind of organization):
Personal Interests:
What is one, or some, of your interests outside of school?
What is one interesting fact about you that you would be willing to
share
with the rest of the class? (e.g., a hobby, an experience, an aspiration,
a quality, a pet, etc.):
Thank you for providing this
information.