Let Us Hear From You!

Let Us Hear From You!
(Please fill out a separate form for each computer lab that you use.)

Last Name:		Middle Initial:	First Name:

I prefer to remain anonymous. (Note: if you remain anonymous, no response can be generated.)

E-Mail Address:		Year in School:	Major:

Computer Lab Used:	Library Lab SUB Lab	Date: (MM/DD/YYYY)	Time: (HH:MM)	AM PM


Comments:		Suggestions:	Complaints: