By completing AND submitting the following information, you are finishing orientation.
Failure to submit this form may result in your being dropped from the course.

Section Number: Today's date (Month/Day/Year Format): Last Name: First Name: Middle Name: ACC ID: Street Address (Include Apt Number): City: State: Zip Code: Home Telephone Number: Work Telephone Number: email address:   No Yes I have access to the Internet from home. I have a computer with a modem at home. I have access to a FAX machine. If you answered yes, what is your FAX number? I have read the orientation materials and understand my responsibilities. May I call you at work? What is your major? Hours of college completed Why are you taking this course?