Dr. Harold Reiter 

 
PLEASE FILL ALL FIELDS
 
 
Name: 
Address: 
Local phone #: 
Email address: 

Are you willing to have your name and email address published in the class roster on the web? Yes No

What 4-digit PIN would you like to use to access your grades? Note that 123 is a 3-digit number.
 (Write this down and keep it in a safe place.)
  

 Please write a few sentences about yourself. The more interesting your comments are, the better chance there is that I will remember you. Some comments you could included here are your hometown, your high school, favorite math teacher, or any special interests. Are you taking this course because it is required for your major?