Contact Information Notes

Contact Information

Picture

Name (full name)

Short/Nickname
Email

Phone number

Address

Birth date

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Notes

Student Number:

Place of Birth:

Languages spoken:

Family Background:

(  ) mother, (  )father,

 (  )wife, (  )husband,

(  ) child(ren),

(  )older sister(s)

(  )younger sister(s),

(  )older brother(s),

( ) younger brother(s)

Interests:

How long in US/Bay Area:

Semester at Lincoln University:

Program:

 (  ) DI, (  ) AS, (  ) BA, (  ) BS, (  ) MBA, (  ) DBA

Courses this Semester:

Future plans:

Contact information --(if missed) 
Email the following to me at profsylvia@gmail.com

Attach your picture
Submit your contact information:

Names (Last, First Nickname/short name)
Phone number:
Address (street/city/state)
Date of birth

For notes:

Place of Birth:

Interests:

Family Background:

Place of Birth:  Born Here

Semester at LU:     

Courses this semester: 

Program

Future Plans