Who-o-0 Are You....?


This is an explanation of the purpose of the form ...

Please provide the following contact information:

First name
Last name
Work Phone
Home Phone
E-mail
   
Class level
Major
   
Are your taking this course
tosatisfy a GESegment III
Cluster requirement?
Yes No

If yes, which

   
   
Please Describe yourself, your interests, and why you are in this course

   


Thank your very much!


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Last revised: March 24, 1998