SCHOOL OF INFORMATION AND LIBRARY SCIENCE
University of North Carolina at Chapel Hill

INLS 744: The School Library Media Center

Student Information Form

Course Syllabus

If you are registered for INLS 744 for the Fall 2006 semester, please enter the information requested below. We will use it to prepare a class list with some of the information that you provide. You will have a chance to look at and edit the entry I create for you before it is distributed to your classmates. If you have questions, please email me at Evelyn Daniel.

Hit the Send key at the bottom of the page when you have finished entering. If you wish to start over, hit RESTART.

Name:

First Name:
Nickname:
Last Name:

Address:

Email Address:
City/Town:

Work:
Place of Work (if any):
Job Title:
Describe any teaching or other classroom experience plus any library experience you may have had:

Education:
I am a 1st yr 2nd yr special other student. I am in the MSLS certification unaffiliated program.

Prior Education (Degrees - subject and school):

Future Plans:
School Library Career Interest (i.e., elementary, middle or high school; rural or urban setting; North Carolina or another state):

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.

Revised 8/22/2006