Name (First, Middle, Last): ________________________________________________

E-mail Address: _______________________________

Remote Student (yes/no): ________

Internet Access/WWW (yes/no): ________

Phone, Fax numbers: _________________________________________

Dept./Degree Program: _______________________________

Specializing in Software Engineering (yes/no): _______

USC ID number: ____________________

Job, Employer: _____________________________________________________

Acknowledgment:

I have read the academic integrity policy published at http://sunset.usc.edu/classes/cs577a_2002/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: _____________