Your name:

Your major:

Your e-mail address:

How many more quarters do you expect to be a student at the University of Washington? this is my last quarter 1 2 3 4 5 6 7 8 9 10 more than 10

How many credits are you taking during this quarter? 5 or less 6 to 10 11 or 12 13 to 15 16 to 18 19 or more

How many hours per week are you currently working for compensation? 10 or less 11 to 15 16 to 20 21 to 25 26 to 30 31 to 35 36 to 40 40 to 45 45 to 50 more than 50

What kinds of learning experiences would you like to be involved in:

• Conventional Quiz Section (meets Mondays)
• Electronic Resource Lab Section (meets Mondays)
• Remote E-Mail Communication (due Mondays)
• Service Learning Internship
• Development of a Business Plan on the Internet (Home Page)
• Development of a Research Oriented Home Page for the Internet
• Writing of a Research Paper
• Development of a Research Plan
• Creation of a Poster (for Research Results or Business Plan)