Name:

Address (Home and School):
 
 

Home Telephone (and School):
Work Telephone:
Preferred Email Address:

Home Town:
Major:
Year (Freshman, Sophomore, Junior, Senior, MBA, etc.):
When do you plan to graduate:

Tell me your goals for the course:
 

Tell me your initial career goals:

Tell me something interesting or unusual about yourself:

What is the most surprising thing that ever happened to you?: