General Chemistry 116
Spring 1996

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Chem116 Background Survey
Spring 1996

Please fill out this background survey. It will only be used in preparing for this class. Your comments will be private. [Note: Submissions from outside the PLU domain (plu.edu) will not be accepted.] If you are a chem116 student and are accessing this form an off-campus internet provider, then send your comments to me using the suggestion box above. If you prefer a paper version, print this form or pick up one from the instructor.

Name:
Phone:
Student ID Number: [Hidden Text, so type accurately]
Your class at PLU: Freshman, Sophomore, Junior, Senior

What is(are) your anticipated major(s)?
What is(are) your anticipated minor(s)?

What was your most recent math class:
When was this course taken?
What was your most recent chemistry class:
When was this course taken?
Where was this course taken?
Additional chemistry courses you anticipate taking? (check all that apply)
  1. Organic Chemistry, 1st Semester
  2. Organic Chemistry, 2nd Semester
  3. Analytical Chemistry
  4. Additional Upper Division Chemistry Courses (e.g. chemistry major)

Any comments, concerns, or questions:

THANKS!

Last Modified 2/1/96 DAW
Please send comments and questions to Dean A. Waldow
© Pacific Lutheran University 1995, 1996