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Personal Academic Report Form

The information you provide on this form will be used by the counseling staff to guide you during your Registration Assistance session. In the Registration Assistance session, a counselor will evaluate your transfer credits and assist you with registering for courses.
Student ID:  
Name:
(last or family name)
(first or given name)
(mi)
Telephone Number: (example: 123-456-7890)
Email Address
(optional)
Check to receive an electronic copy of the Student Bulletin.
  1. Discovering my options
    Which of the following best represents your educational plan? Click the radio button next to the statement that best matches your plans and fill in the blanks for that item, if appropriate.
I want to earn an Associate in Arts degree.
I want to earn an Associate in Arts degree and transfer to and major in .
I want to complete the Minnesota Transfer Curriculum and transfer to a Minnesota public college or university and major in .
I want to earn an Associate in Science degree in .
I want to earn an Associate in Applied Science degree in .
I want to complete an individual course and transfer to and major in .
I plan to transfer out of state to and major in .
I have not decided my future plans and want to take some general education courses.
  1. Choosing my classes
    My current plan is to take credits this semester and work .
  1. Registering for classes
    Select one answer for each scenario presented.
    1. John has registered for four classes and now decides he would like to withdraw from one class.  Is John entitled to a full refund for that course if he withdraws online by the end of the "no-obligation" period?
    Yes, he gets a full refund.
    Yes, but the amount refunded depends on the date his Drop/Withdraw Form is processed.
    No, there is no refund for dropping courses.
    1. Chris went to her first class and decided it isn't for her. Can she withdraw from the class for a full refund?
    Yes, as long as she withdraws before the published deadline.
    Yes, you can always get a refund as long as you submit a Drop/Withdraw Form.
    No, once she attends one class session it is too late for any kind of refund.
    1. Jack has attended the first two weeks of class and decides he can't keep up with the coursework. What are Jack's options?
    Jack can withdraw and get a refund.
    Jack can withdraw without obligation and get a full refund.
    Jack can withdraw but he won't get a refund.
    1. Tom decides he wants to withdraw from his classes and he doesn't care about a refund. Can he send an e-mail to Enrollment Services to formally withdraw?

    Yes, as long as it is before the official last date to withdraw.

    No, he can only withdraw in person at the Enrollment Services counter.

    No, he must complete, sign, and return the forms by mail, fax, or in-person to Enrollment Services by the official withdraw deadline.
    1. Jennifer isn't sure about her withdrawal options.  Which statement do you think most accurately represents her options? 
    There is no difference between withdrawing and withdrawing during the no-obligation period.
    A no-obligation withdrawal must occur within the first 5 business days of the semester and the class will not appear on her transcript. A withdraw after the first 5 business days will appear as a "W" on her transcript.
    A withdrawal without obligation has no penalties, but a withdraw has severe penalties and can ruin her life forever.
    1. Secrets for my success
      Please check all of the following resources you think you could benefit from       and expect to use.
     Career Development Center
     Counseling Center
     Student Employment
     Scholarships
     Learning Center
     Writing Center
     Math Center
     Peer Tutoring
     Services for Disabled Students    		     Computer Lab
      Health Services
      Campus Security Escort
      Child Care Services
      Student Clubs & Organizations
      Volunteerism / Service Learning
      Recreational Activities
      Food Service
    1. Rights and responsibilities
      Please read each statement and enter your initials into the text box following       each statement to acknowledge your agreement.

      I have read and understand the Satisfactory Academic Progress Policy.  
      I have read and understand the Code of Conduct.
      I have read and understand the Academic Integrity Policy.
      I have read and understand the student complaint process.
      I have read and understand the campus Alcohol, Tobacco and Drug Policy.

    2. Evaluation
      Please complete each evaluation question.
    1. The online orientation was easy to use and understand.
        Strongly agree
      Agree
      Disagree
      Strongly Disagree

    2. The information presented in the web site answered most of my questions. 
        Strongly agree
      Agree
      Disagree
      Strongly Disagree

    3.  I will refer to the online orientation web site for additional information in the future.
        Strongly agree
      Agree
      Disagree
      Strongly Disagree

    4. It took me minutes to complete this orientation.
    5. I completed the orientation in sittings.

    1. Registration Assistance Preference

    Please select your registration preference:
        Attend a Registration Assistance Session
        Register for classes on my own

     

    If your responses are successfully received and recorded, you will receive a confirmation page with further instructions. Please wait until you receive your confirmation instructions.