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First Name Middle Initial Last Name

Street Address Apt #

City State Zip Code

ACCmail Phone

Student Identification Number

NOTE: Check the appropriate boxes.

I have activated my official ACCmail address and understand that I need to check this address regularly.

I have located the components of Blackboard used in this course.

I have read the syllabus.

I understand the course requirements.

I understand that I will need to devote a significant amount of time to successfully complete this course.

I understand that I am responsible for withdrawing from this course if I decide that I cannot complete the course.