Please provide the following information:

Name: ____________________________________________________________
          Clearly print last, first, middle name or initial(s)

Cornell Student ID Number: _______________

I have read and understand the code of Academic Integrity as it applies to CS100.

Signature: __________________________________________________      Date: ____________________

If I don't pick up my graded projects and exercises in section and I don't attach a yellow cover sheet to my program requesting that it be kept confidential, I understand that they may be made available for mass return on tables in Carpenter or at review sessions.

Signature: __________________________________________________      Date: ____________________

Either sign the waiver below or give us a Posting ID.

Waiver
I consent to the use of my Student ID number for the purpose of posting grades for CS100 for the Spring 2000 semester, thereby waiving my rights in this regard under the Family Educational Rights and Privacy Act of 1974. I understand that such consent is not required by the university, and I affirm that it is in all respects freely and voluntarily given. I understand that this waiver will be retained by the instructor in charge of the course for a period of one year following its expiration.

Signature: __________________________________________________

Date: ____________________

POSTING ID
If you do not wish to sign the waiver, enter a four-digit number below, and make a note of it. This number will be used instead of your ID number to post your grades. If you prefer to enter the four-digit number, make sure you do not forget it!

Posting ID: ____   ____   ____   ____