Student Contact Information Page

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
Print it out and place in your class folder

Do you have the minimum required LIS654 Computer Skills? Yes No
(See http://www.SolutionsMall.com/courses/654/SILStechExpect.pdf)

Course:

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
662 664 665 667 669 671
672 673 676 677 678 680
684 685 690 692 696 697
698 699 721 723 745 799

When I graduate I would like a job in the following LIS field:

If "other" is selected, please explain here:


Do you have the minimum required LIS654 Computer Skills? Yes No (See http://www.SolutionsMall.com/courses/654/SILStechExpect.pdf)

Course:
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: 651 652 653 654 605 606 608 610 613 614 616 617 620 623 624 625 626 627 628 629 630 632 634 641 642 648 650 660 661 662 664 665 667 669 671 672 673 676 677 678 680 684 685 690 692 696 697 698 699 721 723 745 799
When I graduate I would like a job in the following LIS field: If "other" is selected, please explain here: