Name:     ID: 
 
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Student Information Form

 

 1. 
Enter the course number and section
 

 2. 
What is your last name?
 

 3. 
What is your firstname?
 

 4. 
What is your student id?
 

 5. 
What is your job title?
 

 6. 
Who is your employer?
 

 7. 
What is your work Phone number?
 

 8. 
What is your home phone?
 

 9. 
What is your preferred email address?
 

 10. 
What is your Major?
 

 11. 
What is your minor?
 

 12. 
What is your classification? (fresh, soph etc)
 

 13. 
List other cs courses taken.
 



 
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