Student Information Bio

Immediately complete the following information once you have enrolled in this course. Please do not leave any fields blank, if something is not applicable to you, please use N/A. This form cannot be submitted without an email address.  Once you complete the form, you must click on the "Submit My Information Now" button for it to be sent to the instructor.  

Name
Last		First
Middle		Nickname
E-mail Address		Odessa College ID Number
Mailing Address
Street		Apt #
PO Box		City
State		Zip
Telephone Numbers
Home		Work
Cellular		Pager
Contact Times
Please provide the best times to contact you by phone. Please indicate which number would be best to call if you have listed more than one above.
Enrollment Status
Did you enroll in this course at another institution (as a VCT student)?
Yes No
Employment
Company		Position
Number of hours work per week		Days and hours you work
Age
Education
College major or vocation		Total college hours to date?
Are you presently attending another school at this time?
Please Select One No, only enrolled at Odessa College Yes, High School Student Yes, Community College Student Yes, University Student Yes, Vocational Student
If yes, school name:
Why are you taking this course?
Please Select One Required For Major Elective Course Personal Interest
List any college degrees or personal certifications
Previous jobs and careers
Computer & Internet Skills
How would you rate your computer skills?
Please Select One New user, I can turn the computer on and off. Limited user, I can send e-mails and print documents. Moderate user, I can save documents and send e-mail attachments. Frequent user, I am comfortable with most everything. =========================================================
How would you rate your Internet skills?
Please Select One New user, I have never used the Internet. Limited user, I can follow Internet links on a page or in an e-mail. Moderate user, I can follow links and use search engines. Frequent user, I can find most anything with a search engine. =========================================================
How would you rate your word processing skills?
Please Select One New user, I will need specific step-by-step help. Limited user, I can type up a document and print it. Moderate user, I can save, edit and attach documents to e-mails. Frequent user, I am comfortable using software for this course. =========================================================
Which word processing software do you use? (Word, Notepad, etc.)
Why are you taking this class as a web course, rather than a traditional on campus course?
Quick Bio
Briefly tell me a bit about yourself. The major activities in your life, hobbies, personal and professional goals, anything unusual and interesting about yourself.