|
ENGR-1020 |
|
|
Section |
|
|
|
|
|
|
|
Instructor |
|
|
|
|
|
|
|
Student Last Name |
|
|
|
Student First Name |
|
|
|
Student ID |
|
|
|
Student E-mail |
|
|
|
Student Telphone1 |
|
|
|
Student Telphone2 |
|
|
|
|
|
|
|
Hours |
Hours of work (Job) per week |
|
| |
Hours of Class per week |
|
|
|
|
|
|
Counseling |
Would like to meet with an Engineering and Technology faculty person for
academic counseling? yes/no, |
|
|
|
|
|
|
Interests: |
(Select all Interests) |
Mark X |
|
|
Electrical Engineering |
|
|
|
Mechanical Engineering |
|
|
|
Computer Engineering |
|
|
|
Network Engineering |
|
|
|
Software Engineering |
|
|
|
Chemical Engineering |
|
|
|
Civil Engineering |
|
|
|
Industrial Engineering |
|
|
|
Industrial Manufactoring Technology |
|
|
|
Electronics Technology |
|
|
|
Computer Technology |
|
|
|
Networking Technology |
|
|
|
Other -write below |
|
|
|
|
|
|
|
|
|
|
Courses I've Taken |
|
Mark X |
|
or Software I know |
Algebra |
|
|
College or HS |
Trigonometry |
|
|
|
Physics |
|
|
|
Microsoft Word 2003 or 2007 |
|
|
|
Microsoft Excel 2003 or 2007 |
|
|
Microsoft Powerpoint 2003 or 2007 |
|
|
|
Website Design |
|
|
|
Basic Electricity |
|
|
|
Basic Mechanical Skills |
|
|
|
|
|
|
Languages I can speak |
|
Mark X |
|
|
English |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|