First name
Middle initial
Last name
Extra (for example, "Jr", if used)
Nickname (optional)
Student ID Number (new version, starts with "P")
Street address
City
State (e.g. MI)
Zip
Day Telephone (include area code)
Evening Telephone (include area code)
Email address (Enter "none" if you do not have email yet.
Which Web Browser do you use (e.g. Netscape Navigator or Internet Explorer)?
Browser Name:
Version Number:
What email software do you use (e.g. Eudora, Netscape, AOL, Internet Explorer, etc.)?
Email Software:
Version Number:
Do you want to be able to get on-line grade reports for this course (include all work turned in so far, and projected grade) from the course web site?
Yes No	(If yes, give yourself a password here. Remember it!)
How many credits are you registered for?	Three credits Four credits