ENVR E-120 - Student Information

         Please provide the following information on your background, interests and reasons for taking this course so that we may get to know you better and keep in touch throughout the term. Please submit this form only once, unless during the course of the term you change some vital piece of information like your e-mail address. In that case, submit the form a second time.

         Thanks.

First Name

Last Name

Extension School ID Number

E-Mail Address (for all course correspondence):

School or class affiliation (if any)

Previous degrees (if any)

Current degree program (if any)

Major department, discipline or field of interest

List previous courses taken (if any) relating to environmental issues:

Briefly describe why do you want to take this course? What do you hope to learn from it?

Computer Usage & Experience

For this course will you use an:
IBM machine? or a
Mac machine?

Check the computer software applications that you know and use:

Word Processing	Spreadsheet (Excel, etc)	Photoshop
Database Software	Bibliographic Software (Endnote, etc.)	PowerPoint
	HTML & Web page editing