Class: BA 3843 IS 6833
Name:
Student ID Number:
Gateway ID:
Home Telephone Number:
Work Telephone Number:
Preferred E-Mail Address:
Do you have a Web Home Page now? No Yes If yes, what is the URL? http://
If you already have one or more degrees, please state them (include degree, institution and year):
Major:
Hours to Graduation (not including this semester):
Design Course Status I am in the design class now I have already completed the design class
Current Occupation:
Intended Occupation:
Computer-Oriented Courses Taken (please list and indicate where and when you took them):
Computer-Oriented Experience:
Computer Languages Knowledge:
Modeling Experience:
Do you have any handicaps of which I should be aware?
If yes, please specify:
Other information of which I should be aware: