Last Name		
First Name		 
CSU Campus		
Mailing Address		
City			
Zip Code		
Home Telephone Number	
Work Telephone Number	
Fax Number		
E-mail Address		

Computer Preference
PC
Mac
Either

Computer Program: Which of the following programs are you familiar with?
Netscape
Front Page 
Claris Homepage
Adobe Pagemill
Hot Dog
Hot Metal
Other

Technology Level:What is your technology background?
Beginner
Intermediate
Advanced(prior experience in creating webpages)

Please use this space for comments, suggestions, or questions.