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MKTG 870 Student Background Information

TODAY'S DATE _ 199

LAST Name: _ First Name _; Mid Initial ____

DAY PHONE: _ EVENING PHONE: glue

MAILING ADDRESS: _ picture

CITY: _ ZIP _ here

e- mail _ don't staple

How old are you? _ Where were you born _

How long have you worked? _ years.

How long have you worked in a management position? _ yrs

What is the largest number of people you have managed? _

How many hours are you working per week now? _ hrs/wk.

What other courses are you taking this semester?

_; __; __; __;

Prior to this semester, how many hours of business graduate course work have you completed? __;

WHERE HAVE YOU WORKED: DATES: JOB TITLE/ DESCRIPTION:

___ __ __

___ ___ __

___ ___ __

PREVIOUS EDUCATION:

DEGREE DATE INSTITUTION CONCENTRATION

__ _ ___ ___

__ __ ____ ____

__ __ ____ ____

What do you want to see happen in your life as a result of taking this course?