Student Contact Form Student Contact Information Interactive Technology & Pedagogy After your interview with the ITP Director, please complete this form to share your contact information with the administrators of the Interactive Technology & Pedagogy Certificate Program at The Graduate Center. *When you are done, please remember to hit the submit button at the bottom of this page. If you experience technical difficulties, please reach out to Julie at 212.817.7289 or firstname.lastname@example.org. Include what device (laptop, mobile phone, etc.) and what browser (Firefox, Safari, Chrome, etc.) you used when you encountered problems. Name*Program*Doctoral Level (if applicable)Level ILevel IILevel IIIFor definitions see: http://www.gc.cuny.edu/Prospective-Current-Students/Current-Students/Tuition-FeesBanner ID*We need this to give you permission to register for classes.Phone*Preferred telephone number where we can call you.Phone 2Optional second phone number.Email*Preferred email.Email 2Optional second email address.WebsitePlease share any technical skills you have.This can include: windows, office, HTML, macintosh platform, Unix/Linux platform, R, data viusalization expertise, eBook publishing, surprise us with something awesome, etc.If you have advanced technical skill sets, would you be willing to lead a two-hour workshop? I do not currently have advanced technical skill sets. Yes No Maybe, contact me to tell me more. See sample workshop descriptions here: http://bit.ly/1EeLuI9Is there anything else you would like to share?