Submission Form



Important: Before you fill in this form you are required to read the course syllabus for COSC 1301 and the FAQ's about taking COSC1301 in the distance learning format.

Date
 

Do you understand the course requirements
 

Have you taken a distance class before?
 

Why are you taken a distance coure.
 

First Name
 

Last Name
 

Student_ID
 

Section_Number
 

Home_Phone
 

Work_Phone
 

Cell_Phone
 

Reason_for_Taking_Course
 

Other_Course_Reasons
 

Work_Hours
 

Enrolled_credit_hours
 

Number_ACC_Computer_Courses
 

Highest_Degree_Earned
 

Certifications_Earned
 

Computer_courses_already_taken
 

Computer_related_work_experience
 

Comments_Issue