GRADUATE SCHOOL OF LIBRARY AND INFORMATION SCIENCE
University of Illinois at Urbana-Champaign

LIS 450RRL: GRANTWRITING AND FUNDRAISING

If you are registered for LIS 450RRL in the Summer 2001 semester, please enter the information requested below. I will use it to prepare a class list with some of the information that you provide. If you prefer not to have your address and phone number listed, please check this box and only your name and some background information will be provided. If you have questions, please email me at Evelyn Daniel .

Hit the Send key at the bottom of the page when you have finished entering. If you wish to start over, hit RESTART.

Name:

First Name:
Nickname:
Last Name:

Address:

Email Address:
Street Address:
City/Town:		State:

Telephone:
(Day): (Night):

Work:
Place of Work (if any):
Nature of Work (What do you do?):
Prior Experience relevant to this course:

Education:
I am a(n) LEEP on-campus Fridays only special student.

Prior Education (Degrees - subject and school):

Future Plans:
Career Aspirations (type of work and kind of organization):

Personal Interests:
What is one, or some, of your interests outside of school?

What is one interesting fact about you that you would be willing to share with the rest of the class? (e.g., a hobby, an experience, an aspiration, a quality, a pet, etc.):

Thank you for providing this information.

Revised 5/17/2001