Section Number: 

Phone:
Give me a phone number where I can reach you most easily. I prefer a cell phone or phone number with an answering machine whenever possible and indicate the best time to find you at this number:

     Area Code Phone Number (use hyphen)
     Best time to call you:

Last Name:    First Name:

E-mail Policy: You must have a working e-mail account you check regularly. You are responsible for providing me with a correct e-mail address, for using that same e-mail address in all correspondence, for checking it daily for communication from me, and for saving all e-mail messages from me in order to resolve any grading disputes, etc. By submitting this form, you are agreeing to abide by this policy.

Fill in your e-mail address very carefully!! If you have any errors, your work will not be sent over the Internet to me. Microsoft offers free e-mail accounts at Hotmail and Yahoo offers free e-mail accounts at Yahoo.com.

E-mail Address: 

What version of Word do you have? Word 2002 Word 2003 Neither
Note: You must have one of these versions of Word to take this class at home unless you plan to work in our labs.

Work From Home or LACC:
Please click the description that applies for the majority of your work
Note: You will be required to come on campus for orientation, a technique check, and testing (3-4 times) and must work your schedule around my available hours and the instructional assistants available hours. By submitting this form, you are agreeing to abide by this policy.

Home Street Address:

City, State, Zip:
 

Are you currently a high school student?  Yes No

Note: Please do NOT press Enter at the end of lines in any of the text boxes below—just let the text wrap around to the next line.

If you are currently employed, where do you work and what do you do? (This information will help me advise you during the semester in terms of your goals for the course.)