Watanabe

Student Background Information Sheet

Name: _________________________________________________________________

Name you would prefer to be called in class (if different):_________________________

Contact Phone #:_______________________ Email:_____________________________

Current Major / Class Year: _________________________________________________

Work Experience (current or past):____________________________________________

________________________________________________________________________

________________________________________________________________________

I have read the course syllabus and I am thoroughly familiar with its contents, and I
especially understand the course requirements, grading policy, make-up policy,
participation policy and exam policy. Also, I understand that the content of the course
syllabus maybe subject to change and that I am responsible for being aware of all the
changes.

Name:_________________________________ Date: _________________________

Signature: ____________________________________________________________