<font size=+2>Student Information Form<br><font> <form name="studentid" action="/servlet/FormServlet" method=POST> <input type=hidden name="E_Mail" value="sauterv@msx.umsl.edu"> <input name="DOCsend" type="hidden" value="/tmp/doctosend"> <input name="URLreturn" type="hidden" value="/~sauter/ecommerce/info_submit.html"> <INPUT NAME="Return_type" TYPE="hidden" VALUE="lines"> <input name="SMTPreturn" type="hidden" value="/accounts/faculty/sauter/public_html/ecommerce/msis491.template"> <input name="from_address" type="hidden" value="msis491@msx.umsl.edu"> <INPUT TYPE="HIDDEN" NAME="dateandtime"> <INPUT TYPE="HIDDEN" NAME="class" VALUE="MSIS 491 - Winter, 2000"> <p> <h5><font face="arial"><font size=+1>MSIS 491 -- Winter, 2000 Section <INPUT NAME="section" TYPE="text" SELECT VALUE="G-01" SIZE=4> <OPTION> </SELECT></font></CENTER></center><p> Name: <INPUT NAME="Name" TYPE="TEXT" ROWS=1 SIZE="60" onblur="isValidName()"><p> Student ID Number: <INPUT NAME="student_id" TYPE="text"><p> Home Telephone Number: <INPUT NAME="phone" TYPE="TEXT" ROWS=1 SIZE="14" onblur="isValidPhoneNumber()"><p> Work Telephone Number: <INPUT NAME="wphone" TYPE="TEXT" ROWS=1 SIZE="14" onblur="isValidwPhoneNumber()"><p> <hr width=20%><p></center> Preferred E-Mail Address: <INPUT NAME="saddress" TYPE="TEXT" size="40" onblur="isEma()"> <p> Do you have a Web Home Page now? <INPUT NAME="Web_Page" TYPE="RADIO" VALUE="no">No <INPUT NAME="page" TYPE="RADIO" VALUE="yes">Yes <br> If yes, what is the URL? http://<INPUT NAME="web_site" TYPE="TEXT" VALUE="www.umsl.edu/~" ROWS=1 COLS=10><p> <hr width=20%><p> <dl>Program (please select all that are relevant): <dd><INPUT NAME="emph_area" TYPE="CHECKBOX" VALUE="MIS" SELECTED>M.S. in MIS<br> <dd><INPUT NAME="emph_area" TYPE="CHECKBOX" VALUE="MISminor">MBA with MIS minor<br> <dd><INPUT NAME="emph_area" TYPE="CHECKBOX" VALUE="Accounting">M. Accounting<br> <dd><INPUT NAME="emph_area" TYPE="CHECKBOX" VALUE="MBA">MBA <br> <dd><INPUT NAME="emph_area" TYPE="CHECKBOX" VALUE="ecommFinance">E-Commerce Certificate<br> <dd><INPUT NAME="emph_area" TYPE="CHECKBOX" VALUE="Other">Other <i>please indicate your major</i> <INPUT NAME="other_maj" TYPE="TEXT" VALUE="none" ROWS=1 COLS=30></dl><p> Hours to Graduation (not including this semester): <INPUT NAME="hours_left" TYPE="TEXT" VALUE="about 15" ROWS=1 SIZE="10"><p> <hr width=20%><p> Current Occupation:<br> <TEXTAREA NAME="occupation" VALUE="not currently employed" ROWS=2 COLS=60></TEXTAREA><p> Intended Occupation:<br> <TEXTAREA NAME="intended" VALUE="I have no idea" ROWS=2 COLS=60></TEXTAREA><p> <hr width=20%><p> Computer-Oriented Courses Taken (please list and indicate where and when you took them):<br> <TEXTAREA NAME="comp_courses" ROWS=5 COLS=60></TEXTAREA><p> Computer-Oriented Experience:<br> <TEXTAREA NAME="comp_exper" ROWS=5 COLS=60></TEXTAREA><p> <hr width=20%><p> What do you hope to learn in this class? <TEXTAREA NAME="learn" ROWS=2 COLS=60></TEXTAREA><br><p> Describe your experiences in shopping via the Internet. <TEXTAREA NAME="shop" ROWS=2 COLS=60></TEXTAREA><br><p> How good are your skills in surfing the Web? <TEXTAREA NAME="surf" ROWS=2 COLS=60></TEXTAREA><br><p> How good are your skills in creating Web pages? <TEXTAREA NAME="create" ROWS=2 COLS=60></TEXTAREA><br><p> <hr width=20%><p> Do you have any handicaps of which I should be aware? <INPUT NAME="handicaps" TYPE="TEXT" VALUE="no" ROWS=1><p> If yes, please specify: <TEXTAREA NAME="specific" ROWS=2 COLS=60></TEXTAREA><br><p> Other information of which I should be aware:<br> <TEXTAREA NAME="other" ROWS=5 COLS=60></TEXTAREA><p> <hr width=20%><p> <INPUT NAME="submit" TYPE="submit" VALUE="Submit Form"><INPUT NAME="reset" TYPE="reset"><p> </FORM>