College of Southern Idaho

Teacher Education Program

Student Questionnaire
Name: Lisa Chernoh
Major: (if you are a secondary education major !lease identify the su"ject area e#g#
Secondary Ed$Math% Elementary Education
CSI &raduation 'ate:
End of (all )*+, semester
-a.e you a!!lied for CSI graduation/
No
Transfer Institution: 0ndecided
Transfer 'ate: 0ndecided
-a.e you com!leted transfer a!!lication materials/ No
1e 2ould li3e to contact you in the future# Please !ro.ide the follo2ing:
4ddress: 5 1oodstoc3 Circle
City 6 State: T2in (alls Idaho
7i! code: 855*+
Phone: )*8$,9*$::;,
Email: lchernoh<eaglemail#csi#edu