Student Information Form
Name:
Student ID Number:
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://
Major:
- M.S. in MIS
- MBA
- M Acc
- Graduate Certificate Program
- Other
please indicate your major
Undergraduate Degree:
identify your degree, the institution at which and the year in which degree was granted
Hours to Graduation (not including this semester):
Current Occupation:
Intended Occupation:
Computer-Oriented Courses Taken (please list and indicate where and when you took them):
Computer-Oriented Experience:
Do you have any handicaps of which I should be aware?
If yes, please specify:
Other information of which I should be aware:
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