Student Background Form

Please note: Although it is unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may e-mail your response to this form to: mhuppert@u.washington.edu. This form is presented to allow you to provide me with an idea of how to craft the class to more closely suit your needs. Your input is valuable.

First name

Last name:

Company(if any):

City:

E-mail:

Telephone:

PLEASE CHECK ALL THAT APPLY.

Occupation

Interests

Experience

Full Time Student
Contractor
Engineer
Owner's Representative
Architect
Consultant
Developer/Real Estate
Project Staff
Project Engineer
Project Manager
Senior Manager
Owner/Principal
Other

Industry Interests:

Excel Experience
None
Low
Moderate
High
Professional

Access Experience
None
Low
Moderate
High
Professional

Proficiency (Any that apply)
Email
FTP
Network Administration
PC Installation
Communications Configuration
Financial Analysis

Comments to Instructor

Thank you for your input.

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