Info
sheet, Concurrence Voucher, and Office Hour Request
Course:______________________________________________________________________
Semester/Year:________________________________________________________________
Name (Last, Preferred first):______________________________________________________
Class Standing (freshman, etc.):__________________________________________________
E-mail (optional):______________________________________________________________
Years of French in primary/secondary school:_____________ How long ago?______________
Previous college French (if any)___________________________________________________
Other contact with French? ______________________________________________________
Other language study?__________________________________________________________
Contact with other languages?_______________________________________________
* * *
The times that suit me best for my instructor to have office hours are:
#1 ________
#2 ________
* * *
_____ I consent to my work being duplicated and kept by Dr. Mann and the NGCSU Department of Modern Languages for research and assessment purposes with my name intact.
_____ I consent to my work being duplicated and kept by Dr. Mann and the NGCSU Department of Modern Languages for research and assessment purposes with my name removed.
_____ I DO NOT consent to my work being duplicated and kept by Dr. Mann and the NGCSU Department of Modern Languages for assessment purposes.
* * *
I have read, understand, and agree to the conditions of the course syllabus and calendar. I understand that due to the circumstances of the course, they may be changed in order to facilitate course delivery or administration, and that the instructor will make every effort to keep me apprised of any such changes.
Student signature: ________________________ Date: ______________________