Student Information Form
Student Information Form
Please fill in the blanks and e-mail it to me: presnick@icc.edu OR presnick@fgi.net. If you want to send it by U.S. mail, then send it to: Paul Resnick, Illinois Central College, One College Drive, East Peoria, IL 61635. Thank you.
Your Name __________________________
Phone number of location where you can be reached during the day:
Phone ____________________________
Have you read all the materials sent to you?
 | Letter? Yes ______ |
| Course Schedule and Requirements? Yes ______ |
| Assignments for 5 research essays Yes ______ |
| Argument essay guidelines Yes ______ |
| Questions and answers about correspondence study Yes ______ |
| Departmental syllabus Yes ______ |
| Information on contacting the instructor? Yes __________ |
List any questions you have about the course.
Do you anticipate any problems with meeting deadlines or coming to campus twice?
Yes _________ No __________ If you answered "yes," mention why below and contact me by phone or e-mail immediately.
Do you understand that turning in work which is not your own or neglecting to complete all assignments will result in failure of the course? Yes _________
Your Signature ___________________________________
Your e-mail address (print) __________________________________________
Today’s Date ________________________________
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