Information about http://extension.missouri.edu/learnforlife/form.pdf

Course Enrollment Form (Page 1) …

Tags: bridge, china, chinese cuisine, civil war organizations, course changes, course enrollment, e mail, ill omen, m music, marital status, music history, participant, potpourri, shakespeare, state zip code, twelfth night,
Pages: 2
Language: english
Created: Thu Aug 7 10:35:00 2008
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Course Enrollment Form (Page 1)                                                       Fall 2008
                                                                                            Q




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Please fill out enrollment form completely.

Name:                                                   Courses
                                                        Mark the oval next to the course(s) in which you wish
                                                        to enroll. Please submit a separate form for each
Address:                                                participant. Photocopies are acceptable, or you may
City:                                                   print additional copies from our web site at learnforlife.
                                                        missouri.edu/form.pdf.
State:                    ZIP Code:

Day Phone:
                                                        Monday
                                                        m   Gardening Potpourri
E-mail:                                                 m   A Potpourri of Significant Issues
Please e-mail me about course changes and/or            m   Bridge I
materials. (We will not share your e-mail with other    m   The Fight for Missouri in the Civil War
organizations.)                                         m   Leading Up to the Election
m Yes, please e-mail me. m No, do not e-mail.
                                                        Tuesday
Please tell us about yourself:                          m Chinese Cuisine
Are you retired? m Yes m No                             m Twelfth Night or What You Will - Shakespeare
Gender: m Male m Female                                 m 2008: The Year of Ill Omen for China?
                                                        m Music History as It Ought to Be Taught
Marital Status:
                                                        m France and the Holocaust
m Married m Widowed m Single m Divorced
                                                        m Web Literacy
Are you an MU alum? m Yes m No                          Wednesday
The highest degree you have received is:                m Intercollegiate Athletics
m High school m Associate m Bachelor's                  m Estate Planning
m Master's m Doctoral m Other -- please specify:        m Seriously Funny Modern Comedic Geniuses
                                                        m The Vintage Voyage of Wine Discovery
                                                        m Machiavelli's The Prince
Do you work or plan to work: m Not at all m