Give me some responses to the questions below and I'll give you some extra credit.

First Name: Last Name:

Your e-mail address: (Very useful if I need to contact you for any reason. Be sure to give the one you prefer me to use to contact you.)

Laboratory Section: 19 20 21 22 23 24 20 25 26 27 28 29 Select from Section 19 - 29

Student ID#:

High School:

Past chemistry experience: (select all that apply)

Major:

Goals:

Tell me something interesting/unique/special about yourself:

Have you used a Web browser (like Netscape or Internet Explorer) to surf the Internet before? Yes No

Have you ever watched a movie trailer or some other digital video on the Internet? Yes No

Did you use the QuickTime Player, Real Player or Windows Media Player to view the video? QuickTime Real Player Windows Media Player Other

Have you listened to audio on the Internet (mp3, internet radio, something else)? Yes No

Briefly, describe how you've used audio.

Do you have your own computer on or off campus? Yes No

Indicate the type of connection you have for Internet access. Campus T1 connection Modem (56 K) Cable Modem DSL Not sure

If you want me to post your scores on exams (immediately after the exams are graded), problem sets and laboratories I must have your permission. By completing these two entries you give me permission to post scores by your SID#. NOTE: Do not use your OSU student ID. Also do not start your SID with the number '0'. The software I use will not recognize a '0' that does not have a non-zero number to its left. So an SID that you enter as 00345 is interpreted by the computer as 345.

First Choice Secret ID#/name:(You make this up...use a number, a name or combination.)

Second Choice Secret ID#/name: (In case your first choice is taken by another student.)