Please print this page, and return completed application to:
TA Web Certification Program
Academic & Distributed Computing Services
190 Shepherd Laboratories
100 Union Street S.E.
612-625-1300 (phone)
612-625-6817 (fax)
NOTE: TAs MUST be able to attend all 12 sessions to successfully complete the TA Web Certification Program.
Name ______________________________
Department ______________________________
Home Telephone Number ______________________________
Work Telephone Number ______________________________
Campus Address ______________________________
Campus E-Mail Address ______________________________
Preferred computing platform __________ Macintosh __________ Windows
Each participant must obtain approval from a faculty member to participate in the TA Web Certification Program:
I fully support my TA's participation in the TA Web Certification Program. I will support his or her efforts to design a Web site for use in University courses.
Signature ________________________________________
Date ______________________________
Department ______________________________
Work Telephone Number ______________________________
Campus Address ______________________________
Campus E-Mail Address ______________________________
Last modified Wednesday, 06-Feb-2008 10:33:55 CST