If you are registered for LIS 598 as a summer 2001 short course, please enter the information requested below. I will use it to prepare a class list with some of the information that you provide. If you prefer not to have certain information provided, please check this box and only your name and some general background information will be provided. If you have questions, please email me at Evelyn Daniel. Hit the Send key at the bottom of the page when you have finished entering. If you wish to start over, hit RESTART. Name: First Name: Nickname: Last Name: Address: Email Address: City/Town: State: Telephone: (day): (night): Work: Place of Work (if any): Job title: Nature of Work (What do you do?): Prior Experience relevant to this course: Education: I am a beginning advanced special student. Prior Education (Degrees - subject and school): Career Aspirations (type of work and kind of organization): Interesting Fact: What is one interesting fact about you that you would be willing to share with the rest of the class? (e.g., a hobby, an experience, an aspiration, a quality, a pet, etc.): Thank you for providing this information.
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Hit the Send key at the bottom of the page when you have finished entering. If you wish to start over, hit RESTART.
Name: First Name: Nickname: Last Name: Address: Email Address: City/Town: State: Telephone: (day): (night): Work: Place of Work (if any): Job title: Nature of Work (What do you do?): Prior Experience relevant to this course: Education: I am a beginning advanced special student. Prior Education (Degrees - subject and school): Career Aspirations (type of work and kind of organization): Interesting Fact: What is one interesting fact about you that you would be willing to share with the rest of the class? (e.g., a hobby, an experience, an aspiration, a quality, a pet, etc.): Thank you for providing this information.
Career Aspirations (type of work and kind of organization):
Thank you for providing this information.
Revised 6/13/2001
