Web Based Course Student Information FormĀ 

Please fill out the form below to tell us about yourself.

your information (*required)

*Your Name:
*Email:
*Phone:
Organization:
Title:
 In 2 years I would like to:
In 10 years I would like to:
*Word Processing Program: Other:

Rate your current level of ability in the following:

*Overall computer skills:
*Grant research experience:  
*Grant writing experience:  
Describe current funding situation:
Describe Current program evaluation situation: