Name:
Please list any other online courses for which you're registered this semester.
Primary E-Mail:
Secondary E-Mail:
Do you want a copy of all e-mail messages sent to your secondary e-mail address as well?
Address:
Phone number(s):
Work:
Pager:
Cell Phone:
Parents or other number that can reach you:
Year (freshman, sophomore, etc.):
Please list your previous humanities courses:
Please list your reason for taking this course:
What are your plans for after Georgia Perimeter College?:
Are you taking this course for CPC deficiency? If so, write CPC in the blank.
Are you a non-native speaker of English? If so, write ESL in the blank, and list country of origin:
Are you a Learning Support (formerly Developmental Studies) student? If so, write LS in the blank:
Do you have any type of disability? Please specify:
Have you ever taken an online course before? If so, which course(s) and where?
Type of computer you will be using:
Web browser you will be using:
Have you ever participated in chat sessions?
Have you ever participated in online bulletin boards?
Have you ever written web pages?
Word processing program you will be using:
E-mail program you will be using:
Please add any other comments or more detailed answers here:
By clicking on the button below to submit my information, I agree that I have received a syllabus or have received the online address of the syllabus (http://www.gpc.edu/~shale/humanities/worldlitsyllabus.html). I understand that I am responsible for ALL of the information in this syllabus. I agree to abide by the highest standard of academic honesty. I fully understand that this is an online course, and that online courses may not be suitable for all students. I agree to contact my instructor by posting to the course in some form at least twice weekly. I understand that this course may take 9 or more hours per week. I understand that I may be required to do joint projects with other students. I understand that I am responsible for having the necessary computer skills to participate in this course. I understand that I am responsible for having (or having access to) the necessary computer and any other equipment or supplies with which to take this course online. I understand that I am responsible for obtaining my own commercial internet provider. I agree to allow my picture to be taken and posted on the world wide web. By clicking below I authorize Georgia Perimeter College to use my name, likeness, voice, or course contributions for non-profit educational purposes, and protect the instructor and Georgia Perimeter College from any personal claims of invasion of privacy or copyright infringement. In consideration of participation in this online course, I do hearby agree for myself, my heirs, my executors, administrators, and assigns, remise, waive, release and forever discharge Georgia Perimeter College, the Board of Regents, officers, members and agents and their heirs, executors, administrators, and assigns from any and all manner of action and actions, cause and causes of actions, suits, debts, accounts, damages, claims, and demands whatsoever in law, or in equity, which I now have or may aquire by reason of injury, death, or loss of or damage to property arising out of or connected with participation in said activity. I do further hereby agree to indemnify and hold harmless the said Georgia Perimeter College, the Board of Regents, officers, members and agents and their heirs, executors, administrators, and assigns from any and all of the liabilities described above, arising out of or connected with participation in said activity. I also understand that any activity involves some element of risk for which the College is not responsible.
I fully understand that this is an online course, and that online courses may not be suitable for all students. I agree to contact my instructor by posting to the course in some form at least twice weekly. I understand that this course may take 9 or more hours per week. I understand that I may be required to do joint projects with other students. I understand that I am responsible for having the necessary computer skills to participate in this course. I understand that I am responsible for having (or having access to) the necessary computer and any other equipment or supplies with which to take this course online. I understand that I am responsible for obtaining my own commercial internet provider.
I agree to allow my picture to be taken and posted on the world wide web. By clicking below I authorize Georgia Perimeter College to use my name, likeness, voice, or course contributions for non-profit educational purposes, and protect the instructor and Georgia Perimeter College from any personal claims of invasion of privacy or copyright infringement.
In consideration of participation in this online course, I do hearby agree for myself, my heirs, my executors, administrators, and assigns, remise, waive, release and forever discharge Georgia Perimeter College, the Board of Regents, officers, members and agents and their heirs, executors, administrators, and assigns from any and all manner of action and actions, cause and causes of actions, suits, debts, accounts, damages, claims, and demands whatsoever in law, or in equity, which I now have or may aquire by reason of injury, death, or loss of or damage to property arising out of or connected with participation in said activity. I do further hereby agree to indemnify and hold harmless the said Georgia Perimeter College, the Board of Regents, officers, members and agents and their heirs, executors, administrators, and assigns from any and all of the liabilities described above, arising out of or connected with participation in said activity. I also understand that any activity involves some element of risk for which the College is not responsible.
