1.
While taking
the course, I will be in _________________________________ (city, state, country)
2a.
While taking the course, I will also be _______________________________ (working,
internship, taking other courses, hanging out)?
2b. If you are working or interning while taking the course, how many hours a
week will you be on the job? _______ hours
3.
I am taking this course because (please put a 1 next to the most important reason,
a 2 for the second-most important reason, and so on for as many as apply to you):
____
I will be away from campus for part or all of the class
____ I will have
a work schedule that prevents me from taking this as an onsite course
____
The course content sounds interesting and useful
____ I wanted to have
the experience of taking an online course
____ Other (please explain)
4.
My internet access for taking this course is:
_____ dialup with a modem
_____
broadband connection (e.g., DSL or cable modem, etc.)