General Student Information Input Form

CHEM 1215

Fall 1999

Oklahoma State University

Please complete the Information Form for some Extra Credit. The information you provide will be used to help me focus on interesting applications of chemistry during the semester. Thank you for taking the time to answer these questions.

Name:


Please enter your name in the form "Last, First".

E-Mail Address:

Major:

Academic Year:

Career Goal(s):

Why I enrolled in chemistry:

Significant accomplishment: