Student Information Sheet
for Dr. Waite's Classes
First Name
Last Name
Student ID #
Street Address
City
State
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
MD
ME
MA
MI
MN
MS
MO
MT
NC
NE
NV
NH
NJ
NM
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WI
WV
WY
Zip
Evening Telephone
Daytime Telephone
Check courses(s) in which you are enrolled
ITEC 3350
ITEC 3351
ITEC 3352
ITEC 3363
ITEC 4372
ITEC 4373
ITEC 4374
ITEC 4375
OCED 5360
OCED 6316
OCTE 3353
Other
Indicate your major
Technology Leadership & Supervision/GCT Option
Graphic Communications/Studio Arts
Information Systems Technology
Other College of Technology Major (specify)
Major Outside the College of Technology (specify)
Please explain how you FIRST heard about GCT courses.