STUDENT INFORMATION SHEET -- Prof. Hugh Heclo

Note: These questions are intended to elicit information that may help your teacher respond more effectively to the particular backgrounds and interests of individual students. At a minimum, you should fill in your name, school postal address, e-mail and telephone number.

Name: ___________________________________ E-mail:________________________

Student ID#: ________________________ School-year address:

Telephone: _______________________ ___________________________________

Class year: __________________ ___________________________________

Major: ___________________________ ___________________________________

1. So far as you can say now, what are your career plans?

2. What special skills or experience do you have?

3. Is there anything you especially hope to see addressed in the subject matter of this course?

4. Why are you taking this course?

5. What do you regard as your most important educational experiences from pre-K to university years? (Note: Not all educational experiences may occur in the school system!)

6. Is there anything else you would like your instructor to know about you?

(Use back of page if necessary.)