Student Success Seminar Self-Assessment Questionnaire
* Denotes required field
     
Enter your name and BannerID:
       
First Name:
 *
Last Name:
 *
BannerID:
 *  Don't know your BannerID?
     
     
Please answer the following questions regarding the seminar:
     
Title of Seminar:
 *
List the Main Ideas:
  1.*
  2.
  3.
  4.
  5.
 
How will you utilize this information in your classes or personal life?
  1.*
  2.
  3.
  4.
     
     
Select your reason(s) for completing this online seminar.* (you may check multiple answers.)
     
  My instructor suggested it in
      Course Prefix, Course #, and Section: (e.g., BY 101-20).
      My instructor's name:
      Term: Year:
  My academic advisor recommended it. (Advisor's Name)
  For my personal enrichment
  Other reasons (Please list.)
     
     
Enter the following email addresses: (email addresses may be looked up in the UAB Phonebook.)
     
Instructor's email:  
Advisor's email: