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MESTRACT/Educational Computing - Class Registration Roster (EST 565) Fall 2017
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What is your last name?
(Please be case sensitive)
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What is your first name?
(Please be case sensitive)
Your answer
What is your personal email address?
(Please be case sensitive if applicable)
Your answer
What is your work email address?
(Please be case sensitive if applicable)
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What is your cell phone number?
(Please include area code xxx-xxx-xxxx)
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What is your home phone number?
(Please include area code xxx-xxx-xxxx)
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Have you ever taken a course at Stony Brook University before and/or been accepted to a University program?
Yes
No
If you are a current or former Stony Brook University student, what is your Stony Brook ID number?
(Write "?" if you are unable to recall your Stony Brook ID#)
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If applicable, what is your maiden name or do you have another last name your incoming transcripts might be listed under?
(Write "NA" if not applicable)
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Will you be attending the upcoming course?
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No
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