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Student Data Form -- Winter, 2000

Class:  }}class{{
Section Number:  }}section{{
List: }}from_address{{  

Submission:  }}dateandtime{{



Name:  }}Name{{
Student ID: }}student_id{{

Telephone Number:   }}phone{{
Work Telephone Number:}}wphone{{

Preferred e-mail address:   }}saddress{{  

Do you have a Web Page now?   }}page{{  
If yes, what is the URL?  http://}}web_site{{


Major:   }}emph_area{{ 
Other Major:   }}other_maj{{ 
Hours to Graduation:   }}hours_left{{


Occupation:   }}occupation{{  
Intended Occupation:   }}intended{{ 


Computer-Oriented Courses:   }}comp_courses{{
Computer-Oriented Experience:   }}comp_exper{{ 



I hope to learn:  }}learn{{ 

My experiences shopping on the Internet are:  }}shop{{ 

My ability to surf is:  }}surf{{ 

My ability to create is:  }}create{{ 


Known Handicaps:   }}handicaps{{  
Specific Handicaps:   }}specific{{ 


Other Information:   }}other{{