HIST 446/646     History of Science Since 1700

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OTHER HISTORY COURSES TAKEN--PLEASE LIST THOSE YOU CONSIDER TO BE MOST IMPORTANT OR SIGNIFICANT:

OTHER SCIENCE COURSES TAKEN—PLEASE LIST THOSE IN WHICH YOU HAD THE MOST INTEREST.

ON THE REVERSE OF THIS FORM PLEASE DESCRIBE ANY SPECIAL INTERESTS YOU MAY HAVE IN PARTICULAR AREAS OF SCIENCE & TECHNOLOGY.  DO YOU ASPIRE TO WORK IN ANY PARTICULAR AREA OR INSTITUTION?  PLEASE EXPRESS WHAT YOU HOPE TO GET OUT OF THIS COURSE, AS WELL AS ANYTHING ELSE YOU WOULD LIKE ME TO KNOW ABOUT YOU.  ALL RESPONSES ARE STRICTLY VOLUNTARY AND WILL BE HELD IN CONFIDENCE.

HIST 446 Spring 2006 Tatarewicz