Handout #3 

We would like to know who is taking this course. We will be arranging groups to work on term projects and this information will help make those groups even and cohesive. We will also make a contact list of the class to hand out to the rest of the class, probably next week. 

Name:

Phone Number:

Email:

Home / Dorm address:

Please list Course VI subjects you have taken:

Please list STS courses you have taken:

Have you had engineering work experience (e.g. in a lab or a company)? Please list the dates, the name of the company, and the type of work you performed:

On the reverse side, please write a few sentences on why you’d like to take this course.