MSIS 491 -- Winter, 2000 Section

Name:

Student ID Number:

Home Telephone Number:

Work Telephone Number:

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Preferred E-Mail Address:

Do you have a Web Home Page now? No Yes
If yes, what is the URL? http://

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Program (please select all that are relevant):

M.S. in MIS

MBA with MIS minor

M. Accounting

MBA

E-Commerce Certificate

Other please indicate your major

Hours to Graduation (not including this semester):

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Current Occupation:

Intended Occupation:

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Computer-Oriented Courses Taken (please list and indicate where and when you took them):

Computer-Oriented Experience:

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What do you hope to learn in this class?

Describe your experiences in shopping via the Internet.

How good are your skills in surfing the Web?

How good are your skills in creating Web pages?

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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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