TA 5 & 10

Needs and Interest Questionnaire

Name (as it appears on your registration) ______________________________________

Name (as you wish to be called ) _ ____________________________________________

Years in school _______________ Phone # __________________________________

E-mail _______________________ _ Major ________________ Minor _____________

How long at San Jose State ______________ Expected Date of Graduation ___________

Why did you choose SJSU? _________________________________________________

_______________________________________________________________________.

Currently employed? _______________________ Where? ________________________

Career goals/intended profession: ________________________________________________________________________

________________________________________________________________________

How did you hear about or decide to take this course? ____________________________

What skills, experience or interests do you bring to this course? ____________________

_______________________________________________________________________.

List languages you speak __________________________________________________

List places in the country or world where you have lived in the past ten years ________

______________________________________________________________________.

Describe any positive experiences you have had attending or being part of a theatre

performance . __________________________________________________________

_____________________________________________________________________.

Describe any negative experiences you have had attending or being part of a theatre

performance . __________________________________________________________