Student Math Profile


Please COMPLETE THIS MATH PROFILE if you are NOW or WILL BE taking a math course ANYTIME this academic year. A MATH INTAKE (to discuss your Math Profile, TRiO SSS/other RIT math learning resources and Math Success Action Plan) IS REQUIRED to Complete the TRiO SSS Application Process for: New TRiO SSS Students & Returning Students who are Repeating a Math Course.
Please bring your math course materials to the Math Intake. A Math Intake is Encouraged but Optional for all other students.
Asterisks mark required fields

Please put as much information as necessary into each field and fill out as much as possible

Math Support
Reason for coming to TRiOSSS
Are you or will you be REPEATING a MATH COURSE? Yes No
Do you want math support? Yes No
Why or why not?
Do you want a math tutor? Yes No    Requested? Yes No
If YES have the two of you met? Yes No

Personal Info
*Name
Phone #    *RIT E-Mail
Major    CumGPA
Year    Dean's List Probation CRP
Are you employed? Yes No    # Hrs/wk
Where?

DisAbility Info
Do you have a disAbility? Yes No
If yes, please explain
Are you receiving LSS Structured Monitoring? Yes No
Who is your LSS advisor?
Are you receiving accommodations Yes No
If yes, which ones? Extended Test Time Notetakers Other

Current RIT Math Courses
Course Repeat? Instructor
Yes
No
Yes
No
Yes
No
Is your math course what you expected?
Please explain
Do you want an evaluation of your math skills?
A review of
Last Math Course? Final Grade
When? Where?

I Am Interested In The Following MATH SUPPORT:
Diagnostic Math Evaluation
Individual Math Instruction
Peer Tutoring
Final Exam Review Sessions
Walk-In Hours
Math Study/Support Group
Math Study Skills Workshops
Math Videos
Calculator Workshops
Other

Which TOPICS? Check one or more.
Applications
Calculator Skills
Learning Styles
Math Anxiety
Problem Solving
Study Skills
Test Taking
Vocabulary
Word Problems
Other
Arithmetic
Algebra
Calculus
Data Analysis
Diff Eq
Graphing
Precalculus
Probability
Statistics
Trigonometry

I Am Using Or Have Used The Following RESOURCES:
Math Professor or Instructor
RIT Bates Study Center Math Tutoring
ASC Math Lab, Worksheets, Workshops
Math Videos in ETC
TRiO SSS Math Tutors
TRiO SSS Math Instructor
TRiO SSS Drop-In Tutoring
TRiO SSS Final Exam Study Sessions
LSS (Learning Support Services)
ASC Lunch n' Learn Workshops

Math Background
Grade High School Final Grade
9th
10th
11th
12th
Where?
Grad Date

Qtr Previous RIT Math Courses Final Grade

Math at Other Schools Final Grade
When?
Where?

Self Knowledge
I am successful at math when
Math can be difficult to do because
Name two of your favorite subjects in high school or college   

Please Check the Number That Best Describes You
1. I learn math best when it is explained
Step-by-step... 1 2 3 4 5 ...Conceptually
2. The math I like better is
Algebra... 1 2 3 4 5 ...Geometry
3. When I do math homework, I
Try to understand... 1 2 3 4 5 ...Rush to get done
4. I learn math mostly by
Memorizing... 1 2 3 4 5 ...Understanding
5. My math grades reflect my understanding
Always... 1 2 3 4 5 ...Never
6. Math has usually been
Difficult... 1 2 3 4 5 ...Easy
7. Algebra has a lot of
Meaning... 1 2 3 4 5 ...Rules
8. I learn math best with
An Overview... 1 2 3 4 5 ...Specific Examples
9. In math class, I am usually
Attentive... 1 2 3 4 5 ...Distracted
10. I prefer working
With Others... 1 2 3 4 5 ...On My Own

Please Check the Number That Best Describes Your:
11. Desire to learn math  
Weak 1 2 3 4 5 Strong		   Comments:
12. Math confidence
Weak 1 2 3 4 5 Strong		   Comments:
13. Usefulness for math
Weak 1 2 3 4 5 Strong		   Comments:
14. Understanding of math concepts
Weak 1 2 3 4 5 Strong		   Comments:
15. Notetaking skills
Weak 1 2 3 4 5 Strong		   Comments:
16. Knowledge of math rules & formulas
Weak 1 2 3 4 5 Strong		   Comments:
17. Speed of performance
Weak 1 2 3 4 5 Strong		   Comments:
18. Class attendance
Weak 1 2 3 4 5 Strong		   Comments:
19. Understanding of class lecture
Weak 1 2 3 4 5 Strong		   Comments:
20. Ability to solve word problems
Weak 1 2 3 4 5 Strong		   Comments:
21. Calculator Skills
Weak 1 2 3 4 5 Strong		   Comments:
22. Everday Math Skills
Weak 1 2 3 4 5 Strong		   Comments:
23. Willingness to keep trying when stuck
Weak 1 2 3 4 5 Strong		   Comments:
24. Computer skills
Weak 1 2 3 4 5 Strong		   Comments:
25. Arithmetic skills
Weak 1 2 3 4 5 Strong		   Comments:
26. Algebra skills
Weak 1 2 3 4 Never Studied		   Comments:
27. Correcting mistakes on returned tests
Weak 1 2 3 4 5 Strong		   Comments:
28. Trigonometry skills
Weak 1 2 3 4 Never Studied		   Comments:
29. Calculus skills
Weak 1 2 3 4 Never Studied		   Comments:
30. Time management skills
Weak 1 2 3 4 5 Strong		   Comments:
31. Effort and consistency
Weak 1 2 3 4 5 Strong		   Comments:
32. Test taking skills
Weak 1 2 3 4 5 Strong		   Comments:
33. Success with homework
Weak 1 2 3 4 5 Strong		   Comments:
34. Ability to predict test grades
Weak 1 2 3 4 5 Strong		   Comments:
35. Ability to explain math
Weak 1 2 3 4 5 Strong		   Comments:
36. Class participation
Weak 1 2 3 4 5 Strong		   Comments:
37. Preparation for tests & quizzes
Weak 1 2 3 4 5 Strong		   Comments:
38. Use of textbook examples
Weak 1 2 3 4 5 Strong		   Comments:
39. Graphing skills
Weak 1 2 3 4 5 Strong		   Comments:
40. Enjoyment of games
Weak 1 2 3 4 5 Strong		   Comments: