Family name: 

Given name(s) (and/or initials): 

Primary email address (e.g. j.smith@bbk.ac.uk):   Secondary email address (e.g. johnsmith@yahoo.com):
 

Country of work/residence (please enter uppercase 2-letter ISO-3166 code, e.g. GB, US, DE, FR, etc.): 

Title of highest degree obtained (e.g. BSc Physics, MSc Geology, PhD Chemistry): 

Your level of education: Postgraduate Postdoctoral Lecturer-Professor Professional Other

Have you fully browsed the material giving details of the course? Yes No

The language of the course is English including coursework, project report, and written examination paper. Are you likely to have any problems with reading or writing English?
No Yes, but only under pressure (as in a written examination) Yes, some problems Yes, many problems Don't know

Technical

We will need to know the level of your technical experience in order to assess the level of support you will need.
Please indicate your computing background below being as detailed as possible:

[Warning: Do not fill box with more than 240 characters otherwise the message may not be accepted.]

Do you have regular access to a networked computer? Yes No

If applicable, what type of platform is it (e.g. PC running Windows 98)?

Any additional details (e.g. 16Mb RAM, 15" screen)?

Do you have regular access to a Web browser (e.g. Netscape 3.0 or Internet Explorer 3.0 or better) on the computer? Yes No

If applicable, please type browser name and version in here:

Does your web browser have the symbol font enabled? To check this, the character below should appear as a large red Greek alpha. If you see the letter a, the symbol font is not enabled (see Viewing Symbol Fonts).

Do you have access to local technical support in respect of computer matters? Yes No

Are you able to download software and files? Yes No Don't Know

Do you have your own homepage where you could mount material? Yes No
(This is not a course requirement.)

If applicable, please type in the URL here:

Do you have any of the following installed on your local machine?

Telnet Yes No Don't Know   FTP Yes No Don't Know