NAME__________________________________________________

Meaning of name - look up in dictionary _________________________________

Optional - Age_________________________________________________________

What town do you live in?______________________________________________

What town do you work in?_____________________________________________

In a word or two, how do you feel about English?___________________________

Have your feelings changed over the years?________________________________

Have you taken other courses here or elsewhere? __________________________

If you have, list a few courses, including all English courses_____________________

_________________________________________________________________________

What are your academic goals, and when do you expect to reach these? _______

______________________________________________________________________

Hobbies, special talents, interests...? ____________________________________

Children, Pets?_________________________________________________________

Favorite food & TV show_________________________________________________

Favorite quote:_________________________________________________________

If you were stranded in the library for a couple of hours, list the title of magazine articles, Internet sites, or books you might enjoy perusing:___________________________________

___________________________________________________________________

Admiration is our polite recognition of another's resemblance to ourselves. (Ambrose Bierce)

(Rev. Sept 2000)