Course information form

Courses Wayne State University College of Lifelong Learning Interdisciplinary Studies Program Times' Harvest courses, Winter 2001 ( http://www.cll.wayne.edu/isp/drbowen/thw01) Times' Harvest Advanced Seminar (online) AGS 3360, Section 990, Call Number 90510, 4 credits Times' Harvest Advanced Directed Study (online) AGS 3340, Section 981, Call Number 90508, 4 credits Office hours: Mondays 4 - 6 PM in 113 Rackham	Instructor
	David R. Bowen 2311 A/AB Wayne State University Detroit, MI 48202	Daytime tel: (313) 577-1498 Evening tel: (248) 549-8518 FAX: (313) 577-8585 Home Page: http://www.cll.wayne.edu/isp/drbowen Email: d.r.bowen@wayne.edu

Last updated: 1/8/01

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.
Capitalize the first letters, as you would normally.

First name:

Middle initial (if used):

Last name:

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

Nickname (optional):

Student ID # (new one that starts with "P", not Social Security Number):

Street address:

City:

State (e.g. MI):

Zip:

email:

Daytime phone (include area code):

Evening phone (include area code):

Optional other contact information (e.g. cell phone, pager, FAX):

Which of these course are you taking?
GST 2710, Computers and Society, Lower Division and General Education credit
AGS 3360, Computers and Society, Upper Division

If applicable, which Web Browser do you use (e.g. Netscape Navigator or Internet Explorer)?

Browser Name:

Browser Version Number:

If applicable, which email software do you use (e.g. Eudora, Netscape, AOL, Internet Explorer, etc.)?

Email Software

Email Software Version Number:

How do you rate yourself as a computer user? Expert (others ask you for advice)
Average (can get the job done)
Beginner (just started, haven't started yet, have been away from it)

How do you rate yourself as an Internet user? Expert (use email and web, others ask you for advice)
Average (use email and web, can get the job done)
Beginner (just started, haven't started yet, have been away from it)

Online grade reports:
Do you want to be able to get on-line grade reports for this course (including all work turned in and/or missing at the time, and projected grade) from the course web site?
Yes (If yes, give yourself a password here. Remember it!)
No

Counting this time, how many times have you submitted this form?

First name:
Middle initial (if used):
Last name:
Extra (for example, "Jr" if used):
Nickname (optional):
Student ID # (new one that starts with "P", not Social Security Number):
Street address:
City:
State (e.g. MI):
Zip:
email:
Daytime phone (include area code):
Evening phone (include area code):
Optional other contact information (e.g. cell phone, pager, FAX):

If applicable, which Web Browser do you use (e.g. Netscape Navigator or Internet Explorer)?
Browser Name:
Browser Version Number:

If applicable, which email software do you use (e.g. Eudora, Netscape, AOL, Internet Explorer, etc.)?
Email Software
Email Software Version Number:

How do you rate yourself as a computer user?	Expert (others ask you for advice) Average (can get the job done) Beginner (just started, haven't started yet, have been away from it)

How do you rate yourself as an Internet user?	Expert (use email and web, others ask you for advice) Average (use email and web, can get the job done) Beginner (just started, haven't started yet, have been away from it)