Student Information
Name: ___________________________________ Major: _______________
Address:
Home Phone: __________ Work Phone: __________ e-mail: _________________
Will you have a graphing calculator? yes___ no___ What kind?_________
Have a computer with Internet access? yes__ _ no___
Prerequisite Check
Please answer all questions truthfully. If you don’t remember dates or grades exactly, please provide a close estimate. Do not leave any blanks. Have you:
1. Completed ACC’s Intermediate Algebra with a grade of B or better? yes___ no___
If yes, what year? 19___ or 20___ Grade: A B C D F
2. Completed ACC's College Algebra with a grade of C or better? yes___ no___
If yes, what year? 19___ or 20___ Grade: A B C D F
3. Completed high school Precalculus with a grade of C or better? yes___ no___
If yes, what year? 19___ or 20___ Grade: A B C D F
4. Completed high school Trigonometry with a grade of C or better? yes___ no___
If yes, what year? 19___ or 20___ Grade: A B C D F
5. Taken the COMPASS (T-COM) Math Assessment Test? yes__ no___ Score:______
Important : You can satisfy the prerequisite in one of three ways:
1. You answered “yes” to 1 or 2.
2. You answered “yes” to 3 or 4 and your score on the assessment test is 69+
3. Your score on the assessment test is 79+
Otherwise, I am not allowed
to permit you to remain in this course without further consultation.
If you don’t know your grades or scores, I have them.
Please note: If you completed
a prerequisite course more than two years ago,
or received lower than a B, or
the Pretest shows that
your basic algebra skills need sharpening, I recommend that you refresh your
math skills by first taking College
Algebra or Intermediate Algebra
.
I have answered all questions truthfully, and have read the above advice.
I understand that my instructor may drop me from this course if
I do not have the proper prerequisite background.
I understand that failure to give accurate information about prerequisites
constitutes scholastic dishonesty.
Signed: ___________________________________ Date: ___________________
The student's promise
I will read and understand the first-day handout materials.
I promise, to the best of my ability, to:
I understand that if I miss more than 4 classes, I may be dropped by the instructor for "Excessive Absences" (code 27).
I understand that if I am chronically late for class, I may be dropped by the instructor for "Excessive Tardiness" (miscellaneous code 33).
I understand that failure to complete a substantial portion of the homework assignments may result in my being dropped by the instructor for "Missed Tests or Assignments" (code 30).
Signed _______________________________________________________
Raise your hand - I will pick this up
Then start on your Pretest