Please fill out and return.
Name: _________________________________________________
Student ID #: ___________________________________________
Dept./Degree Program: __________________________________
Job, Employer: _________________________________________
Software Work Experience (years): _______________________
Phone, fax numbers: ____________________________________
E-mail Address: ________________________________________
Acknowledgement: I acknowledge the importance of USC's academic integrity standards (with respect to plagiarism, referencing others' work, etc.), and agree to abide by them.
Signature: ______________________________________________