Important:  Before you fill this form, you are required to read the course syllabus for COSC 1336 and the course FAQ

Have you read the course syllabus and the FAQs for this class 

Have you understood the requirements for this class

Have you ever taken a Computer Science course in a distance learning format before

Why are you taking this course as a distance learning class (Use ctrl and click to select more than one)

Important Note:  If you chose number 3, then you should reconsider your choice and take this course in a traditional, classroom setting.  In the distance learning format this class takes at least four times the effort than it would take in the classroom.  The distance learning format is for the self-disciplined and highly self-motivated students.  If you are in doubt, please contact the department office for advising. 

You can expect to spend anywhere between 5-10 hours per week on the readings and coursework for this class

Last Name:

First Name:

Student ID:

Synonym:                  

Contact phone number - make sure this a valid, working number at which you will normally answer the calls should I need to call you:
Primary           Alternate                   

E-mail Address (ACC Email address which ends in @g.austincc.edu):
NOTE: Please read the email policy in the course FAQ

E-mail Address (Alternate Email address):

Reasons for taking this course:
Personal Interest
 Want to learn programming
 Required by degree, my degree program is
Work Related, Please explain in comments section
Recommended by:
Other Please explain

Please tell me about your student and professional life:
Hours working per week
Number of credit hours enrolled in this semester
Number of computer courses taken at ACC
Highest Degree Earned

What Computer Science / Programming courses have you already completed (ACC or elsewhere)

List your computer related work experience

Comments / any issues that you want your instructor to be aware of