Assignment Title:__________________________

Your Last Name:__________________________

Your First Name:__________________________

Your Student ID#:_________________________

Total pages included:  Cover Sheet + ____ pages

 

When sending this assignment by FAX, please include a telephone number where you can be reached in case there is a problem in transmittal.  Do not fax an assignment twice.  You may call the Distance Learning Center during normal operating hours to confirm receipt of your fax: (408) 864-8969.
 

Your Phone Number: (______)_______________