Questionnaire

Questionnaire for Animal Morphology, Motion and Mind
Please e-mail to Kevin Francis @ francisk@evergreen.edu by September 1, 2011

Name:

Hometown:

Evergreen e-mail (We will use this e-mail to contact students):

Educational Background and Goals
Briefly describe your educational background and goals.

Briefly describe your long-term career goals.

What biology or chemistry classes have you taken in high school? In college?

What art or animation classes have you taken in high school? In college?

What history classes have you taken in high school? In college?

Have you taken any Evergreen programs? If so, what were they?

Animal Morphology, Motion, and Mind
What drew you to this program?

What topics are you interested in exploring in this program?

What skills are you hoping to learn in this program?

What do you think are your strengths and weaknesses in learning?

Do you have any difficulties with math or writing that the Learning Resources Center or faculty might help you with?

Do you have any special interests, projects, expertise or experience that can be a resource for our program?

Please describe anything else that may influence your work or participation in the program (job, children or other family commitments, sports, commute/car pool, allergies, etc.)

NOTE: If you have a health condition or disability that might require accommodations in order to effectively participate in this calls please contact the faculty AND Access Services at 867-6348. Information about a disability or health condition will be regarded as confidential.

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