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.