Math 221 Class Survey Spring 2016

Please fill out and turn in as soon as possible!

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* 1. Full name

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* 2. Student ID. If you are not a registered student, please indicate here.

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* 3. Contact information

Phone number

Campus mail address

Email address

URL (if you have one)

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* 4. Enrollment status

Enrolled

Auditting

Undecided

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* 5. Department & year in grad/undergrad school