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Personal Information Survey

Personal Information Survey - Name Campusaddress Cell...

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Name: _______________________________ Campus address:  ____________________________________ Permanent Address:   _____________________ Local phone #: _______________ Cell #: ______________ Permanent Telephone #:   __________________ E-mail:   ___________________________________________ MAJOR(s):   ______________________________ MINOR(s):   ________________________________________ CLASSIFICATION:   _____________________ Alternate E-mail:   ___________________________________ Software Skills:  ________________________________________ Birthday?  ________________________ If you work, where?  ___________________________  What Hours? __________  Work Phone:_______________    If you volunteer. where and how often?  ____________________________________________________________  What jobs have you held so far?  How long at each? ___________________________________________________ Career Goal: I want to become a:______________________________. Learning goals for this particular class: 1.  __________________________________________________________________ 2.  __________________________________________________________________ 3.  __________________________________________________________________ For PR Students Only: Who taught you in JOU 2303 Intro to Reporting or 3372 Writing for Media?   __________ Did you take 2303 or 3372 in the summer? ______________________________________________ Have you taken Beginning Editing yet? _____ Taking? ___ Who is or was your teacher? _______________ Your Current Class Schedule: Time Course Location Instructor _______  ________________________   ______________________  _________________
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  • Spring '10
  • Burleson
  • Baylor University, ________________________ Software Skills, Current Class Schedule, _______________ TV Station

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