print out
Registration Form for Focus Group Project: October 15, 2013
Name ________________________________________________________
Email address _________________________________________________
Phone Number _________________________________________________
Course Name (101 or 102) and Section Number of your current English class (Fall 2013)
_____________________________________________
Check the English course you took in Fall 2012 or Spring 2013.
☐ ENGL 052 ☐ ALP (Eng. 052 + Eng. 101)
Check the time you can attend on October 15th. Each session lasts 2 hours.
☐ 9:00 a.m. ☐ NOON ☐ 3:00 p.m.
RETURN COMPLETED FORM TO THE ALP OFFICE (AHUM 102A) OR EMAIL TO
SARAH sgearhart@ccbcmd.edu or MARIE mrobertson@ccbcmd.edu
QUESTIONS? CALL SARAH OR MARIE AT 443-840-1300 (ALP OFFICE)
THANK YOU!
