Student Survey
Jeffrey Longhofer, Ph.D., LCSW
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Before the first class session, you are required to complete this form and return it to me. Thank you.
Your Name:
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Your RU Email:
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Your Alternative Email:
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Your Concentration: (if applicable)
Your Current Field Placement: (if applicable)
Your Undergraduate Field Placements (if applicable):
Date of Birth:
Your Undergraduate Degree(s):
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Your Undergraduate Institution:
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Other Degrees, Certificates, Licences:
Why did you decide to seek a graduate degree in social work?:
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Have you had a course(s) in this subject or ones related to it? Please list:
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Why are you taking this course and what are your expecations?:
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Are you currently employed in social work or related field? Please describe:
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Do you have access to the internet at home?:
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Do you have access to the internet at work?:
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Do you own a computer?, If so, what kind of computer?:
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How many hours per week do you spend commuting?:
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Estimate the number of hours per week you spend in reading (material unrelated to school) and what do you most enjoy?:
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Have you used Refworks, Endnote, or other bibliographic management software?
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