QM 3523 Student Information Form

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QM 3523 -- Operations Management
Department of Economics & Decision Sciences

College of Business

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Student Information Questionnaire

Instructions: Provide the information requested by entering it into the designated spaces and making the appropriate selections from the selection boxes. When you are done entering the information, click on the "Accept" button. If you have completed the form correctly, you will receive a confirmation, which you are to print and retain as proof you have successfully submitted the requested information. (For best results, use Netscape 3.0 or higher or Internet Explorer 3.0 so that the form will display and submit properly.)

Name:

First Name (the way you would like to be addressed)
Last Name
ID# --

Number of credits this term: . . . . . . Total credits to date:

Major:

Distance (miles) you currently live from ASU (0 if on campus):

Hometown (where you grew up): City , State

College (if any) prior to ASU:

Name:
Terms attended:

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Miscellaneous confidential information (optional):

Marital status:
Number of children:
Do you (and your spouse) head your own household?

Courses completed (indicate when you took each of the following classes or its equivalent):

MATH 1023 (College Algebra)
SCOM 1203 (Oral Communications)
MIS 1503 (Microcomputer Applications)
ACCT 2013 (Accounting II)
LAW 2023 (Business Law)
MIS 2023 (Management Information Systems)
QM 2113 (Statistics)
ECON 2313 (Macroeconomics)
ECON 2323 (Microeconomics)
BSYS 2563 (Business Communications)
MKTG 3013 (Marketing)
FIN 3717 (Finance)
MGMT 3123 (Organizational Management)
MGMT 4813 (Business Policy)

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Level of experience with typical computer applications:

Spreadsheets . . .Which, if any, do you prefer?
E-Mail
Microsoft Windows
MacIntosh Systems

Work -- Are you working while going to school (or vice versa)?

Where?
In what capacity?
About how many hours weekly?

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Extra-curricular activities -- if you are involved in any of the listed activities, which require considerable amounts of time, indicate which (or that which consumes the most time):

Phone number (will not be given out):

Home --
Work --

Acknowledgement: I hereby acknowledge receipt of the syllabus for QM 3523 (sections being taught by John Seydel), and I agree to the specifications included therein. I further certify that I realize this class requires extensive and consistent outside work, along with continuous attendance. In light of this, I am willing and able to attend all classes and to spend the recommended amount of time daily preparing for the class, unless I am unavoidably prevented from doing so.

(Pressing button indicates your acknowledgement)

(Pressing button clears form)

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