What is your EMAIL address? * required
What is your FIRST name? * required
What is your LAST name? * required
You have my permission to post my name and e-mail address on the EDAH 5403 password
protected class web page. * required
(NOTE: Although only the teachers, student assistant and students enrolled
in the class will have access to this site, I occasionally make it available to other
educators and prospective student interested in online teaching.)
What is your MAJOR? (e.g. Adult & Higher Ed.)
Who is your ADVISOR? (e.g. C. Dillon)
What is your POSTAL address? (for backup purposes only)
What is your PHONE number? (for backup purposes only)
What internet browser are you using? * required
Who is your ISP? * required
What word processing software are you using? * required
Please provide a brief summary of your computer system
(i.e. processor speed, modem speed,etc.) * required
Any special comments?
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when you've finished
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(if you'd like to clear the form
and start over) |
