Mary Jackson Pitts, Ph.D.
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Mary Jackson Pitts, Ph.D.
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Download Student Information Sheet Here
Please print this form and fill out the following information and turn it in to me. If you are in more than one of my classes, please fill out a form for each class that you are enrolled in. Student Information Sheet Name:
_________________________________ Class Enrolled In_________________________ Semester_______________________________ School Email:____________________________Personal Email____________________ Phone:_________________________________ Cell: _________________________ Major__________________________________ Emphasis__________________________ Number of hours enrolled at University _______________________________________ Job title:__________________________Number of work hours______________________ Expectations of this class ________________________________________________________________________ ________________________________________________________________________ Hobbies and Other Interest ________________________________________________________________________ ________________________________________________________________________ |