| Last Name | |
| Harvard ID number* | |
| First Name | |
| Last Name | |
| Harvard ID number | For Extension Students, this should begin with an '001' or '002'. Specify only first 8 digits. If you don't have a Harvard ID number, type in the last four digits of your SSN |
| Email Address | This is required for all course correspondence. You should be able to check this address frequently. |
| School or class affiliation | |
| Previous degrees | |
| Current degree program | |
| Major department, discipline or field | |
| List previous courses taken relating to environmental issues: |
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| Briefly describe why you want to take this course. What do you hope to learn from it? |
| For this course will you use a | PC or a Mac |
| Check the computer software applications that you know and use: |
Word processing Spreadsheet (Excel etc.) Photoshop Database Software Bibliographic Software (Endnote etc.) PowerPoint HTML & Web page editing |
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