Student Info. - IDT Orientation - Certificate
The following information will be shared with the IDT faculty.
First Name *
Your answer
Last Name *
Your answer
U-Number *
You MUST include the U and zeroes at the beginning of your U-Number. It will like something like U00123456. If you are not sure what this is, please revisit the Universal User ID section of the orientation site and then return to this form.
Your answer
Gender *
UM Email *
If you are not sure what this is, revisit the Setting Up Email section of the orientation site and then return to this form.
Your answer
Gmail *
Please share your Gmail or Google Apps email address. If you do not have one, please revisit the Google Account section of the orientation site and then return to this form.
Your answer
Preferred Email *
Where would your prefer to receive email correspondence. It may be your UM email, your Gmail, or some other account.
Your answer
Track *
Are you seeking the IDT Certificate in Educational Technology (Track 1) or in Design and Development (Track 2)
Advisor *
EdTech (Track 1) certificate students are advised by Dr. Clif Mims. D&D (Track 2) certificate students are advised by Dr. Andrew Tawfik.
Current Enrollment *
Please indicate any degree program(s) to which you are currently admitted. Please mark all that apply.
Required
Admitted *
Please indicate the year in which you START TAKING CLASSES for the IDT certificate.
Admitted *
Please indicate the semester in which you START YOUR FIRST CLASS for the IDT certificate.
Primary Phone *
Include the Area Code and enter the 10 digits without - or ( ). Please only include the 10 numerals. Please do NOT include any symbols.
Your answer
Primary Phone *
Is this phone number (The Primary Phone above) for your...
Phone 2
Include the Area Code and enter the 10 digits without - or ( ). Please only include the 10 numerals. Please do NOT include any symbols.
Your answer
Phone 2
Is this phone number (The Primary Phone above) for your...
Home Address *
Please share your home mailing address.
Your answer
Google+ Profile *
Note that https://plus.google.com is NOT your profile's URL. (Example: https://plus.google.com/115055907676998855276)
Your answer
Website or Blog
Please give the entire URL including the http://. Example: http://clifmims.com.
Your answer
Twitter
Please give the entire URL including the http://. (Example: http://twitter.com/clifmims)
Your answer
Facebook
Please give the entire URL including the http://. (Example: http://facebook.com/clifmimscom)
Your answer
LinkedIn
Please give the entire URL including the http://. (Example: http://www.linkedin.com/in/clifmims)
Your answer
Employer *
Name of school, company, etc.
Your answer
Job Title *
Indicate your current job title.
Your answer
About
Share a bit about yourself with the IDT faculty (1-5 sentences)
Your answer
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