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HDP 191 Pre-Enrollment Questionnaire

2008-09 Academic Year

 

 

Please note that I will be out of the office from Thursday, May 8 through Monday, May 12, 2008. If you have any questions regarding this questionnaire, please feel free to e-mail me and I will respond when I return to the office on Tuesday, May 13!

Please answer all of the following questions to the best of your ability.

Keep in mind that the information you provide will be used to determine your placement to a field research site.

HDP 191 Enrollment Procedures

If you encounter any problems, please contact Christina Knerr at (858) 534-9919 or via e-mail at cknerr@ucsd.edu.

 

 

Section I: Personal Information

 

First Name
Last Name
Student PID
Phone Number
UCSD E-mail
Permanent Address

 

Section II: Quarter Selection

 

Please indicate the quarter in which you plan to complete the HDP pre-major:
Please indicate the quarter in which you plan to complete HDP 181:
Cumulative GPA:
Please indicate the quarter in which you plan to graduate:
Please indicate the quarter that you would most prefer to enroll in HDP 191:
Please indicate your second choice of quarter placement:
Please indicate your third choice of quarter placement:

Please list any constraints that my impact the quarter of your placement in HDP 191:

(e.g. Graduation, Study Abroad, Sports, etc.)

 

 

Section III: Site Selection

 

Please review 2008-09 Field Research Site Opportunities

Answer the following questions to the best of your ability and list your top five (5) site choices. Please state your motivation behind choosing each site and remember that the reasoning you provide will assist the field research coordinator in placing you at a site that best fits your interests and future career aspirations.

Please note: You must select five (5) site choices in order to be considered for enrollment.

 

Age Group Preference

Please specify the age groups that you are most interested in working with:

Infants
Toddlers (1 to 2 years)
Pre-Kindergarten (3 to 4 years)
Kindergarten (5 years)
Elementary School (6 to 10 years)
Middle School (11 to 13 years)
High School (14 to 18 years)
Adults (18 to 64 years)
Seniors (65+)

Other

Career Aspirations

Please specify the career(s) that you are most interested in pursuing upon graduation. Include your motivation & interests behind your desire for pursuing this/these career(s).

 

 

 

Section IV: HDP 191 Orientation

 

You are required to attend one orientation meeting during the Spring 2008 quarter in order to complete your enrollment in HDP 191.

Please indicate which orientation meeting you will attend

 

Section V: Your Records

 

Print out the following page for your records.

**ATTENTION**

Please note that I will be out of the office from Thursday, May 8 through Monday, May 12, 2008. You will NOT receive a confirmation e-mail until TUESDAY, MAY 13 at the earliest!

The Human Development Program will send an e-mail confirming receipt of the Pre-Enrollment Questionnaire. If an e-mail confirmation is not received within 24 hours of submission, please call the HDP Office at (858) 534-9919 or e-mail Christina Knerr at cknerr@ucsd.edu.