GIS Student Information
This information will be used only for department purposes.
Please only fill out the form 1 time during your time as a student in the Geospatial Technology Certificate.
* Required
Name
*
What is your street address?
*
example: 209 Westwood Place
What city do you live in?
*
example: Asheville
What state do you live in?
*
example: NC
What is your zip code?
*
example: 28806
Email
*
contact email
May I use your address as part of class exercises and demonstrations (only your addess will be used)?
*
If you don't want your home address used and have a work address that would be ok, include it instead.
yes
no
What is your major?
*
Geospatial Technology
Computer Information Technology
Web Technologies
Digital Media
Other:
Semester
*
Choose the semester we are currently in
Spring 2009
Summer 2009
Fall 2009
Spring 2010
Summer 2010
Other:
Phone number
use this format please: (333) 333 - 3333