Distance Learning Student Information Form

Before you begin, please do the following:

  • Complete the Online Learning Questionnaire and note your score (you will need it for this form)
  • Familiarize yourself with the Library Services for Distance Learning students
  • Test Your System to ensure your computer is capable of handling Distance Learning online courses (NOTE: this link takes you to the SUNY Learning Network site. You are not necessarily taking an SLN course through GCC). NOTE: do not “create an account” - click on “no, return” instead.
  • Have all your online course information available (including Course and Section Number, Instructor's Name, and Instructor's E-mail Address)

If you feel you do not possess the skill needed to easily complete all parts of this online form, first consult the Online Helpdesk for tips and assistance. If your question or problem is still not resolved, send an e-mail to online@genesee.edu

Important
If you exit without completing and submitting the form, your work will NOT be saved! You will need to re-enter all your information when you return to the form.

All links will open in a new browser window.

All fields are required unless otherwise indicated. If required items are left blank, you will be prompted to complete them before the form can be submitted.
I have completed the Online Learning Questionnaire.
My score was: 33 or Above 21-32 20 or Below
If you have a question about the Online Learning Questionnaire, please post it here:

Research Assignment:
The GCC Library has many services available for distance learning students. Please answer the following questions about using the GCC Library from a distance.

1.

Who is the Instructional Services Librarian?
(Hint: http://www.genesee.edu//library/InfoLit/dlsMenu.cfm)
Answer:

2.

What is your GCC Network Username?
A GCC Network account gives you access to many resources. (Don't know your username? Hint: http://www.genesee.edu/resources/Helpdesk/FAQ/login.cfm ).
Enter your GCC Network Username for your account:

3. The Library provides online tutorials for using electronic resources. What is the name of ONE of the library tutorials?
Answer:
List all GCC Online credit courses you are taking this semester: [Online required, Others optional]
Course and Section #
(e.g. HIS 102 66) 		Instructor's Name Instructor's E-mail Address

Personal Information:

First Name:

Middle Initial:
Last Name:
Student ID Number:
Mailing Address:
City:
State:
Zip or other Postal Code:
Country:
GCC E-Mail address: (Use the full address, e.g. jdoe@genesee.edu)
(Please enter this carefully. This form will be returned to you at the Genesee Community College E-mail address you enter.)
Home Phone Number (include area code):
Work Phone Number (include area code):
Name of ISP (Internet Service Provider):
(e.g. genesee.edu, aol.com, rochester.rr.com, iinc.com, wycol.net)

Main Support Site for proctored tests, video access, tutoring, etc.: [Check One]
Genesee Community College @ Batavia
Genesee Community College @ Albion
Genesee Community College @ Arcade
Genesee Community College @ Dansville
Genesee Community College @ Lakeville
Genesee Community College @ Medina
Genesee Community College @ Warsaw
I reside outside of Western New York

Where do you have access to a computer with Internet connection? [Check all that apply]
Home
Work
GCC
Other - please specify

 

Important

Before you click on the Submit button below, please be certain that you have correctly entered your Genesee email address. If possible, print a hard copy of the entire form, or copy the form, paste it, and save it using word processing software.

This form will be returned to you at the Genesee email address you entered. For many students, it arrives within seconds, for some, it will take up to four hours.

When you receive it, please complete the following steps (if you do not know how to complete these steps, click on any of the links for a brief tutorial):

  1. COPY and PASTE the form information from the e-mail you receive into a new document in your word processor.
  2. NAME the document, using your first and middle initials, and last name.
  3. SAVE the document as a Rich Text Format (.RTF) document. If you do not have the option to save the document as .RTF you can save the document as a .TXT document.
  4. Send this saved .RTF document as an ATTACHMENT in an EMAIL to EACH online instructor you have listed on your form.

If you do not receive the completed form in your e-mail, or if you encounter difficulties in completing this form, please contact the helpdesk for assistance.