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: ______________________________________________