Course information form

Courses Wayne State University College of Lifelong Learning Interdisciplinary Studies Program Computers and Society courses, Winter 2001 ( http://www.cll.wayne.edu/isp/drbowen/casw01) Mondays, 6 - 9:40 PM in 113 Rackham Computers and Society GST 2710, Section 988, Call Number 95241, 4 credits Computers and Society AGS 3360, Section 983, Call Number 98319, 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


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Last updated: 1/11/01
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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:

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Evening phone (include area code):

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Which Times' Harvest courses are you taking (check one box only):
AGS 3360 only
Both AGS 3360 and AGS 3340

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Online grades
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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 Web Browser, if any, do you use (e.g. Netscape Navigator or Internet Explorer)?
Browser Name:
Browser Version Number:

Which email software, if any, do you use (e.g. Eudora, Netscape, AOL, Internet Explorer, etc.)?
Email Software
Email Software Version Number: