Name: Preferred email address:
Educational background:
Work experience
Job duties:
Access to a personal computer (check all that apply): ____ home ____ office _____ other
Access to the internet (check all that apply) ____ home _____ office _____ other
Describe the extent of your experience in the following areas (be specific):
Chat:
Internet Games
Internet Newsgroups
World Wide Web
Other (please list)
List programming languages you have studied or used or web page design experience (if any):
Please list anything related to the course not listed above where you have some knowledge or experience which might the basis for a short presentation sometime during the course
If there are specific things you want to learn from this course, please list them:
Why are you taking this course?