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<td width="289"><span style="font-size:12px; ">SIUE Public Administration and Policy Analysis<br />Alumni Hall, Room 3128<br />Campus Box 1457<br />Edwardsville, IL 62026-1457</span></td>
<td width="207"><span style="font-size:12px; ">Main line: 618-650-3762<br />Fax: 618-650-2786<br />Email: mpaprogram@siue.edu<a href="mailto:dpeters@siue.edu" style="color:#FFFFFF; ">dpeters@siue.edu</a></span></td>
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<form method="post" name="mail" action="http://www.siue.edu/cgi-bin/FormMail.pl">
<p align="center"><input value="dpeters@siue.edu, ddolan@siue.edu" type="hidden" name="recipient" /><input value="email,realname, address, city-state-zip, home phone, expected entry date" type="hidden" name="required" /><span class="sidebarHeader">Master of Public Administration<br />Department of Public Administration and Policy Analysis<br />Comprehensive Exam Registration<br /></span><br /><span style="font-size:12px; "><strong>Please Note:</strong> You are responsible for notifying the PAPA Department in advance of the exam of changes in address, phone number, or email</span></p>
<input type="hidden" name="recipient" value="dpeters@siue.edu" /><label for="realname">Name:</label> <input type="text" id="realname" name="realname" onfocus="this.value=��" />
<p><label for="email">E-Mail:</label> <input type="text" id="email" name="email" onfocus="this.value=��" /></p>
<label for="banner id">Banner ID:</label> <input type="text" id="banner id" name="banner id" onfocus="this.value=��" /><br /><br /><br /><br /><label for="address">Address:</label> <input type="text" id="address" name="address" onfocus="this.value=��" /><br /><br /><label for="citystatezip">City/State/Zip:</label> <input type="text" id="citystatezip" name="citystatezip" onfocus="this.value=��" /><br /><br /><label for="cell">Cell Phone:</label> <input type="text" id="cell" name="cell" onfocus="this.value=��" /><br /><br /> <label for="work">Work Phone:</label> <input type="text" id="work" name="work" onfocus="this.value=��" /><br /><br /><label>What year are you applying for the comp exam?</label><input id="semester" onfocus="this.value+" /><br /><br /><input type="radio" id="spring" name="spring" value="spring" /><label for="Spring">Spring</label><input type="radio" id="summer" name="summer" value="summer" /><label for="summer">Summer</label><input type="radio" id="Fall" name="Fall" value="Fall" /><label for="Fall">Fall</label></form>