Student Survey

Directions: Fill in this form carefully only once during a semester. If your information changes, resubmit the form at that time. The COAT Department will use the information to counsel you and contact you during the semester. Check your email regularly. Hold your mouse over a field to read pop-up directions.
Last Name
First Name
Street Address
City
State		Zip
Email Address*
*Your email address is required and must be absolutely correct or we cannot contact you. Hotmail and Yahoo offer free accounts. If you don't have one, use your assigned LACC student email address, which ends in @email2.lacitycollege.edu. When you enroll in any class at LACC, you are automatically assigned an LACC email account. Click here for details.


Home Phone:		Work Phone:
Area Code	Number	Area Code	Number Ext.
Answering Machine Yes No		Answering Machine Yes No
Best time to call:

Declared Major:	No Major Declared
	CAOT Department Major
	Other Major

Student Status:	Full-time student Part-time student


Schedule in CAOT Department: (Fill in as many as apply; full-time instructor names shown in ALL CAPS.) Click here to see the current Schedule of Classes.

Course 1:
Instructor 1:

Course 2:
Instructor 2:

Course 3:
Instructor 3:

Course 4:
Instructor 4:

Course 5:
Instructor 5:

Schedule in Other Departments:

List the courses are you currently taking outside the CAOT Department. If you're not taking any others, type None. Please do NOT press Enter at the end of lines for any of the text boxes below—just let the text wrap around to the next line:

Schedule Preferences

If you could choose only one time of day below to take most of your classes, which would it be?

8 a.m.-12 p.m. 12-3 p.m. 3-6 p.m. 7-10 p.m.

Comments:

If you could choose only one of the schedules below to take most of your classes, which would it be?

Monday through Thursday Friday Saturday

Comments:

LACC E-mail Account: When you enroll in any class at LACC, you are automatically assigned an e-mail account. Your LACC e-mail address begins with your userID (also known as your alias) followed by userid@email2.lacitycollege.edu

The userID is composed of:

First 2 letters of your first name;
First 2 letters of your last name;
Last 5 digits of your student identification number.

Accordingly, a student named John Smith with a student identification number of 123-45-6789 would have a userID of josm56789. His email address would be josm56789@email2.lacitycollege.edu You might want to copy and paste @email2.lacitycollege.edu into the Email Address field and then add your user ID in front.

Your 4-digit password is composed of two numbers representing the month and two numbers representing the day of your birthday. For example, if John Smith was born on January 2, his initial password would be 0102.Click here to check your LACC email. When the Web site opens, type your User ID. Another window will pop up and you need to then type lacc_uia\ followed directly by your user name (for example, lacc_uia\josm56789). Fill in the password in the next box, and you should gain access. Click here to check your LACC e-mail.

Note: To protect your privacy after filling in this form, do this: In the Internet Explorer browser window, click Tools, Internet Options, Content tab, AutoComplete button, Clear Forms button, OK, OK; close and reopen the browser. If you can't remember these steps, just return to this page and follow them from here.

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This site and its contents are © 2003 [Arlene Zimmerly] and may not be reproduced in any form without prior written permission. All rights reserved. Best viewed in Internet Explorer, 1024 x 768 resolution. Revised December 30, 2011.