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1. First Name
Last Name
2. E-mail Address
3. Phone Number
.
4. Department
— If other, please specify:
5. Are you ... Faculty
Staff
Student
6. Please select WHICH classes you would like to attend:
7. Authorization to attend class provided by:
(Please type in name of supervisor; or if not applicable,
please leave blank.)
8. Do you have any comments, suggestions, or questions?
6.
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