Coursework-Faculty Information Sheet

Thank you so much for taking time to complete the online survey/assessment. Now for the final section of the
survey, we would like you to fill out the names of all courses you took in the 1st, 2nd, 3rd and 4th semester of
college and names of faculty who taught these courses. Please provide complete information.

After you fill out this sheet, please raise your hand a proctor will come by, check the sheet for completeness
and collect it from you. We thank you again and very much appreciate your thoughtful responses.

Your Full Name: ________________________________________________________

College: ________________________________________________________________

Department: _____________________________________________________________

2015-2016 First Semester

Full Name of Course Full Name of Faculty/Instructor

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2.

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6.

7.

8.

9.
2015-2016 Second Semester

Full Name of Course Full Name of Faculty/Instructor

1.

2.

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4.

5.

6.

7.

8.

9.

2016-2017 First Semester

Full Name of Course Full Name of Faculty/Instructor

1.

2.

3.

4.

5.

6.

7.

8.

9.
2016-2017 Second Semester

Full Name of Course Full Name of Faculty/Instructor

1.

2.

3.

4.

5.

6.

7.

8.

9.