First Name
Middle Initial
Last Name
Spouse's Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone	-- (xxx)xxx-xxxx
Home E-mail
Work Phone	-- (xxx)xxx-xxxx
Work E-mail
URL	-- Personal/Business URL to share via web site
Employee Type	Employee ABC Course Summer Student Trades Friend
E-Lab Start Date	-- mm/dd/yy
E-Lab End Date	-- mm/dd/yy
Alumni Comments	-- Comments to share via web site
Comments	-- Registration Comments