Course information form

Wayne State University
College of Lifelong Learning
Interdisciplinary Studies Program
Instructor email: d.r.bowen@wayne.edu
Instructor tel (WSU) (313) 577-1498 / (Home) (248) 549-8518
Macomb University Center, WSU office (810) 263-6700 / (313) 577-6261

Computers, the Internet, and Society
http://www.cll.wayne.edu/isp/drbowen/inetw00
AGS 3360 Section 301 Call Number 99879, 4 cr
or
ISP 7990 Section 300 Call Number 95259, 4 cr

Last updated: 1/9/2000

Course Information Form

Please fill in the information in the blanks below, and then click on the "Done - Send it in" button at the bottom. For your name, please use the same form that you register with, and capitalize the first letters, as you would normally.

First name

Middle initial

Last name

Extra (for example, "Jr", if
used)

Nickname (optional)

Student ID Number
(new version, starts with "P") Not your social Security Number!!!

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!)

First name
Middle initial
Last name
Extra (for example, "Jr", if used)
Nickname (optional)
Student ID Number (new version, starts with "P")	Not your social Security Number!!!
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!)