Student Profile Sheet

NAME:_________________________________________________

E-Mail Address: _________________________________________

Phone Number: (best one to reach you): ______________________

Work/Job: (if any)_____________________________________hrs,/wk.____

Your Schedule: (please fill in to the best of your knowledge)

 

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

7am

 

 

 

 

 

 

 

8am

 

 

 

 

 

 

 

9am

 

 

 

 

 

 

 

10am

 

 

 

 

 

 

 

11am

 

 

 

 

 

 

 

12noon

 

 

 

 

 

 

 

1pm

 

 

 

 

 

 

 

2pm

 

 

 

 

 

 

 

3pm

 

 

 

 

 

 

 

4pm

 

 

 

 

 

 

 

5pm

 

 

 

 

 

 

 

6pm

 

 

 

 

 

 

 

7pm

 

 

 

 

 

 

 

8pm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I have read and understand the syllabus for this course MATH __________________.  I will abide by the guidelines to assist in my achievement in this course.

 

Signature: ______________________________________ Date:_________________