Name:
	First Name	Middle Initial	Last Name

Student ID:

- -

Email:
	yourname@domain.com

Please answer the following questions:

1.	What is your admission status at this college?
	New, first time in any college
	New to this college but have attended other college(s)
	Returning to this college after absense from this college
	Continuing at this college

2.	If you have selected a math course, what is your Math Self-Placement?
	A non-transferable course:
	Math M09
	Math M01
	Math M02
	Math M03
	A transferable course:
	Math M05
	Math M06
	Math M07
	Math M10
	Math M13
	Math M15
	A higher level transferable course:
	Math M16A or B
	Math M25A,B or C
	Math M31
	Math M35

3.	Which of the following statements best describes your selection in question #6 (select one)?
	I selected a math course before I arrived.
	I selected a math course during using the Self-Placement Guide.
	I plan to study the Math Self-Placement Guide further.
	I do not plan on taking a math course at this time.

4.	I found the Math Self-Placement Guide easy to use.
	Strongly Agree
	Agree
	No Opinion
	Disagree
	Strongly Disagree

Back to Math Self Placement Guide