Student Information Form
NR Ecology Online (RNGE221, Section 40 Outreach, fall semester 2004)

 
Note: Please ...
1. Complete this form during the first week of semester.  
2. Send a digital photograph of yourself to me via email:
3.

 

 Submit the name and complete address of a person who agrees to serve as proctor for the examinations.

 
You will not receive the access codes to the course material until I have received the three items above.

 

 

*Required information

 Name:*  
 E-mail address:*  
 Internet Homepage:

 

  

 
 Your location:* UI Moscow campus ISU, Idaho Falls
UI Boise Center CSI, Twin Falls

 		 NIC, Coeur d'Alene
 


 

 Other
 
 If you are enrolled in
 Internet Section 40,
 how did you find out
 about this course?

 
 Major:*  
 Minor/Options
 or double major:		  
   
 

 Class standing:*

Current G.P.A.: 

 (Optional)
Freshman Home State: (Two-letter abbreviation)
Sophomore Home Country:
Junior
Senior    

 Have you taken any of the following university classes?*
(check all Introductory Biology
that apply) Introductory Botany 
Introductory Physics
Introductory Chemistry
 

 Please list your hobbies (e.g., camping, biking, sailing).
 

 What attracted you to the College of Natural Resources and your major.
 

 Is your email entered correctly?
 Please send a digital photograph of yourself to me via a separate email.