Student Information Request
Please provide this info for me to get to know you a little better and reach you during the semester.
Name
*
First Name
Last Name
Personal E-mail
Non Lone Star email address
Phone Number
*
-
Area Code
Phone Number
2nd Phone Number
-
Area Code
Phone Number
Please describe at least 3 things you would like Professor Landry to know about you:
*
This information will help me find out more about who you are and how I can best support you.
Occasionally, Professor Landry will submit and publish articles, blogs, and other written works. Your names will not be used, if published. Do you grant permission to use your class responses in future publications?
*
Yes
No
Add any additional comments or questions you have at this time...
This is open for you to add any additional information you would like for me to know before class begins.
Submit Form
Should be Empty: