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\usepackage{fancyhdr}
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\rhead{Earth, Moon, and Planets Lab (Wed 6-9pm)}
\chead{}
\lhead{Questionnaire}
\renewcommand{\rightmark}{}
\lfoot{Roban Hultman Kramer} \cfoot{\thepage} \rfoot{Fall 2006}

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%\begin{center}
%\begin{tabular*}{0.5\textwidth}{@{\extracolsep{\fill}}cccc}
%not much & some & a lot & particular favorite
%\end{tabular*}\vspace{0.1in}
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%}

\begin{document}

\begin{list}{}{\setlength{\leftmargin}{0.0in}\setlength{\listparindent}{0.2in}}
\item \textbf{Name:}\hspace{3in}\textbf{Year:}

\item \textbf{Major(s) / minor(s):}

\onehalfspacing
\item \textbf{Which (if any) lecture class are you in currently:}

\textbf{Beyond The Solar System (Columbia)} TR 1:10pm-2:25pm, James H
Applegate

\textbf{Earth, Moon, and Planets (Columbia)} MW 2:40pm-3:55pm, Joseph
Patterson

\textbf{Life in the Universe (Barnard)}: M W 1:10-2:25, Laura Kay 

\singlespacing
\item \textbf{Circle lecture courses you've completed}:
\begin{center}
\begin{tabular*}{0.9\textwidth}{@{\extracolsep{\fill}}ccc}
Earth, Moon, and Planets & Beyond the Solar System & Life in the Universe
\end{tabular*}\vspace{0.1in}
\end{center}

\item \textbf{Circle lab courses you've completed}:
\begin{center}
\begin{tabular*}{0.9\textwidth}{@{\extracolsep{\fill}}cc}
Earth, Moon, and Planets Lab & Beyond the Solar System Lab
\end{tabular*}\vspace{0.1in}
\end{center}

\item \textbf{Please list any other science of math classes you are in
or have taken in college:}
\vspace{1in}


\item \textbf{Please list any topics you'd particularly like to
explore in lab:}
\vspace{1in}

\item \textbf{Is there anything else I should know?}

\end{list}

\end{document}