Your Name:
A Number:
EMail:
Major:
Which Year Are You In? Choose One Feshman Sophomore Junior Senior Graduate Student
When Do You Plan to Graduate?
Have You Taken PHYS 2210 and PHYS 2220? Yes No
What Other Chemistry, Physics, or Device related courses have you taken?
Do You Need Microfabrication for Your Current Research? Yes No
If 'Yes', Who Is Your Research Mentor?
Do You Need Microfabrication for Your Potential Career (eg. Graduate School, Job,...)? Yes No
If 'No', Why Are You Interested In Taking This Course?
