Basic Questionnaire for CSCI 577a: Software Engineering I
Fall 2003
Please PRINT
Remote students are expected to fax it to DEN at (213) 740-9121

Name (First, Middle, Last): ________________________________________________

USC E-mail Address: ____________________@USC.edu

Remote Student (yes/no): ________

Phone, Fax numbers: ________________________________________

Dept./Degree Program: _______________________________

Specializing in : Software Engineering     Other (please specify): _________________________
(Enter 'general' in the other field above if you are a CS Masters student without specialization or "PhD" if you are a PhD student )

Enrollment Status: Enrolled in Class   On official (CS Dept. D-Clearance System) waitlist   Neither enrolled in class nor On waitlist

Citizenship: _____________________________________________

Status in US: Citizen    Permenant Resident (Green Card)   F-1 Student    Other

If other please specify: ________________________________

USC ID number: ____________________

Job, Employer: _____________________________________________________

 

Acknowledgment:

I have read the academic integrity policy published at http://sunset.usc.edu/classes/cs577a_2003/academic_integrity.html,  and all the related materials linked from that page.

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: __________________________________________ Date: _____________