Spanish 101A class survey - TTH 11am 2010

Student information



         

       

Name


A red asterisk (*) indicates required questions.


  1. Telephone Number


  1. Email address*


  1. I am taking this Spanish primarily for (Select all which apply)*
    College transfer credit
    High school/ College transfer credit
    work-related reasons
    Family-related reasons
    Travel or personal reasons
    To stay on my parent's insurance
    To fulfill a full credit load for Financial Aid


  1. My previous Spanish language experience is primarily *


  1. I speak another language in addition to English.
    If you do not speak another language, just type No.
    If you do speak other languages, please list them below*


  1. I am currently enrolled at a UC or CSU University*
    Yes
    No


  1. If you answered Yes to Question #8,
    Please list which UC/CSU school you are currently attending.


  1. In order of preference (1-prefer the Most, 5- like the Least)

        1 2 3 4 5 6
    Dogs  
    Cats  
    Horses  
    Birds  
    Fish & Reptiles  
    Small children in line at Safeway  


  1. My birthday is (month/day)


  1. I am 21 years of age or over.*
    Yes
    No


  1. If you answered "no" to question #10 (are you 21 years old or older):
    Are you over 18 years of age? *
    Yes
    No





Skype: the.drlemon
Ohlone College
CA