Online Student Contact Information Form
This email registration is designed to make sure that your professor
has your correct email address and other contact information.
Please complete the ENTIRE form
BEFORE you press [Enter] or click on the "SUBMIT" button.

Do you have the minimum required LIS654 Computer Skills?       Yes No (See http://www.SolutionsMall.com/courses/654/SILStechExpect.pdf)
Course:	Course Registered For LIS654-3 Tuesdays LIS654-1 Wednesdays LIS654-4 Thursdays
Last Name:
First Name:
Pratt ID Number:
Email:
	Please use Phone Number Format: +1 212-555-1212
Daytime Phone:
Evening Phone:
Fax:
Job Title:
Company Name:
Academic Degrees:
Work Experience:
This Semester's Classes/Days:
Classes Completed:	Core:       651   652   653   654 605   606   608   610   613   614 616   617   620   623   624   625 626   627   628   629   630   632 634   641   642   648   650   660 661   662   664   667   671   672 673   676   677   678   680   685 690   692   696   697   698   699   721   723   745   799
When I graduate I would like a job in the following LIS field: Please select your LIS field here: Public Library Business/Corporate Library School Library (Media Library Specialist) College or University Library Museum or Gallery Library Digital Library Archive Publisher or Database Provider Law Library Other - explain below If "other" is selected, please explain here: