20.109(S12):Student registration and questionnaire

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Please copy the source code from this page to your user page, fill in the answers, and print out a copy for next time.
You do not need to keep the information on your user page once you've printed it out.

Do not fill in your personal information on this page, only on your own user page.

Registration/Questionnaire: 20.109 Spring 2012

Last Name

First Name

Preferred name/nickname (if not first)

Course/Minor

Year of Graduation

Telephone #

Email

Preferred OH Time

What times on Sundays (all), Mondays (T/R section), and Tuesdays (W/F section) are you available for occasional office hours (held before major assignments are due)?


Potentially Relevant Background

Have you taken/are you taking... Answer yes/no/when
7.05/5.07 (Biochemistry)
7.06 (Cell Biology)
7.03 (Genetics)
5.310 (General Chemistry Lab)


Do you have experience with... Answer yes/no/type
Cell culture (microbial/mammalian/yeast?)
Molecular biology (electrophoresis, PCR, etc)

Please briefly describe any previous laboratory experience

Anything else you would like us to know?

Commitment to academic integrity

After you print out this page, please sign your name under to the following statement to indicate your agreement:

I have read and understood the 20.109 statement on collaboration and integrity.