Physics 107 Student Information Form

Name:
Student ID#:
Email (REQUIRED!):
Local Phone:

Local mailing address (specify dorm name, room # or apt #):

Address

City	State	ZIP

Hometown:

Year of High School degree:

UW major, if known:

Rank in college:

Expected graduation date:

PLEASE TELL ME IF YOU HAVE ANY SPECIAL NEEDS. These would include such problems as vision or hearing impairment, attention deficit disorder, test-taking special requirements, test or math anxiety, scheduling conflicts. I can be accommodating, but ONLY IF YOU TELL ME RIGHT NOW!!

or

Hometown:
Year of High School degree:
UW major, if known:
Rank in college:
Expected graduation date: