University of Illinois at Chicago Statistical Laboratory Client Information Date: ________________

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University of Illinois at Chicago Statistical Laboratory
Client Information
Date: ________________
First Name:
Last Name:
Address:
Email:
Phone:
Check category:
UIC Faculty
UIC Staff
Department:
UIC Student
Outside UIC
College:
Institute (outside UIC):
Grant supported?
No.
Advisor (if you are a student):
Yes. Who is the P.I.?
__________________
Which software will you be using?
SAS
R/Splus
SPSS
Minitab
EXCEL
Other___________
Please briefly describe your background in statistics (course work, experience, etc)
Please describe your project and specify what kind of assistance you need.
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