APPENDIX B

STUDENT PROFILE FORM

 

 

Course Name:

 

___________________________________________________________

 

Course Number:

 

___________________________________________________________

 

Section Number:

 

 

___________________________________________________________

 

  1. Identification Number: ______________________________

 

  1. Please indicate your intended major:

 

_____ Computer Sciences/Mathematics

 

_____ Engineering (of any type)

 

_____ Natural or Physical Sciences (Biology, Chemistry, Physics, etc.)

 

_____ Education

 

_____ Commerce or Business related majors

 

_____ Humanities, Liberal Arts (English, History, etc.)

 

_____ Social Sciences (Psychology, Sociology, Social Work, etc.)

 

_____ Undecided

 

_____ Other. Please, specify: ______________________________

 

  1. Please indicate the student status that best describes you:

 

_____ Freshman

 

_____ Sophomore, or Junior or Senior (circle one)

 

_____ Transfer student

 

_____ Other. Please, specify: ______________________________

 

 

 

 

  1. Please indicate the enrollment status that best describes you:

 

_____ Full-time

 

_____ Part-time (more than one course)

 

_____ Single course-taker

 

  1. For the current semester, when are your courses scheduled mainly:

 

_____ Daytime

 

_____ Evening

 

_____ Other

 

6.      Please indicate how many full years of mathematics you took during grades 9-12:

_____ 1 year

 

_____ 2 years

 

_____ 3 years

 

_____ 4 years

 

  1. Please provide the following information on the last mathematics course you have taken prior to this course:

 

 

_____ 0-1 year ago

 

_____ 2-3 years ago

 

_____ 4-10 years ago

 

_____ More than 10 years ago

 

·        Where was that course taken?

 

_____ Public high school

 

_____ Private high school

 

_____ Community college

 

_____ Four-year college or university

 

_____ Other. Please, specify: _____________________________

 

·        Final letter grade in that course: _______________

 

 

  1. Is this the first time you are taking this course?

 

__________ Yes                                 __________ No

 

  1. If you answered NO in question 8, please indicate why:

 

_____ Failed the course the first time.

 

_____ Dropped the course due to a failing grade.

 

_____ Dropped the course for other reasons.

 

_____ Did not fail the course, but I am repeating it for other reasons.

 

10.  How many hours per week do you anticipate you will be working in a job during this semester?

_____ 0-10 hours

 

_____ 11-20 hours

 

_____ 21-30 hours

 

_____ 31-39 hours

 

_____ Full-time (40 hours or more)

 

 

 

 

 

 

 

 

 

  1. How often did you use the following types of technology in this course?

 

 

 

 

 

How

 

often employed

 

in this

 

 

course?

Type of technology

Not

available

No at

all

Occasionally,

but not

frequently

 

Frequently

Almost

always

a) Calculators: graphing, computational, etc.

 

 

 

 

 

b) Email: one-on-one communication, online discussion groups, etc.

 

 

 

 

 

c) Internet: World Wide Web, downloadable software, etc.

 

 

 

 

 

d) Data Probes: Calculator-Based Laboratories (CBL’s) or Microcomputer-Based Laboratories (MBL’s), motion detectors and other sensors

 

 

 

 

 

e) Computer Algebra Systems (CAS): Mathematica, etc.

 

 

 

 

 

 

f) Spreadsheets: Excel

 

 

 

 

 

 

g) Other software packages: word processing, presentation graphics, etc.

 

 

 

 

 

 

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