Individual Questionnaire for CS 590: Summer Directed Research - CPT in Software Engineering
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Personal Information
First Name*:
Middle Initial:
Last Name*:
Student ID*:
xxx-xx-xxxx
Sex*:
M
F
Contact Information
Preferred Email address*:
USC SCF UserName*:
@scf.usc.edu
Daytime Phone Number*:
(xxx) xxx-xxxx
Fax Number:
(xxx) xxx-xxxx
Personal Web Page URL:
Student Information
I am specializing in Software Engineering
Yes
No
Current Degree Objective
MS
PhD
English Proficiency Level*
Select One
Excellent
Moderate
Beginner
Your Work Information
Company*
Department*
Your Title*
Your Job Description*
Company URL
Supervisor Information
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Middle Initial:
Last Name*:
Title*
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Daytime Phone Number*:
(xxx) xxx-xxxx
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cs577@scf.usc.edu