Visualizing Ecology
Fall /Winter/Spring 2006-7

These questions are intended to help faculty get to know you, as well as to help you clarify your objectives in taking this program.  We also need information so we can contact you.

1)  What is your name?______________________________________________

2)  What are your local and permanent addresses, phone numbers and e-mail addresses?
Check here to give faculty permission to give your name and e-mail address to other students.     ____ Yes           ____ No      

Local __________________________________________ telephone # ____________

Permanent_______________________________________telephone # ____________

                _______________________________________

e-mail address _________________________________

3)Do you have any condition that might affect your participation in this class?

4)  Have you ever taken any art courses in the past?  Please list the courses and level (e.g. high school or college).  Describe what you learned.

5)  Have you ever taken any science or math courses?  Please list the courses and level (e.g. high school or college).  Describe what you learned.