PLAN 597

Student Information

Would you please provide the following information:

Name, including what you like to be called

Home address and phone

Campus address and phone

Email address (please print clearly)

Present degree program and year

Thesis/project topic and/or research experience relevant to course

Specific interest in water resources

Previous work and/or research experience relevant to course

What would you like to do in your next job?

What is your career goal?

Have you built a WWW page or used HTML?

Do you have a laptop with a wireless connection?

Do you have a web page or blog? If yes, please provide addresses if you are willing.

Have you obtained my permission to register for the course?