\documentclass[twoside,12pt]{article}
\usepackage{light}

\setlength{\fboxsep}{0ex}
\newcommand{\mybox}{\fbox{\hspace{2ex}\rule{0ex}{2ex}}}
\newcommand{\mybigbox}{\fbox{\hspace{3ex}\rule[-0.5ex]{0ex}{3ex}}}

\begin{document}

\generic{Student Information}{September 9, 2004}

\begin{center}
\textbf{YOUR NAME:} \underline{\hspace{3in}}
\end{center}

\begin{itemize}

\item All students in 6.042 must attend 1-hour recitations on \textit{both}
Wednesday and Friday.

\item In the table below, please:

\begin{enumerate}

\item Cross out times when you are NOT available.

\item Check the box beside your preferred time.

\end{enumerate}

\end{itemize}

\begin{center}
\begin{tabular}{ccccc}
\textbf{Wednesday} & \hspace{0.25in} & \textbf{Friday} & \hspace{0.25in} \\
\\
9 AM && 9 AM && \mybox \\
\\
10 AM && 10 AM && \mybox \\
\\
11 AM && 11 AM && \mybox \\
\\
noon && noon && \mybox \\
\\
1 PM && 1 PM && \mybox \\
\\
2 PM && 2 PM && \mybox \\
\\
3 PM && 3 PM && \mybox \\
\\
4 PM && 4 PM && \mybox
\end{tabular}
\end{center}

\vspace{0.25in}

\begin{center}
\begin{tabular}{ll}
If you have taken or are taking 6.041, mark here: & \mybigbox \\
\\
If you have taken or are taking 18.440, mark here: & \mybigbox
\end{tabular}
\end{center}

\end{document}