(IF YES) What college or university were you attending during the week of April 15, 1997? Please do not abbreviate the school name.

School Name: _________________________________________
City/Town: ____________________________________________
State/Foreign Country: ___________________________________

(IF YES) What college or university were you attending during the week of April 15?
? Please DO NOT ABBREVIATE the school name

Name: __________________________________________
________________________________________________
(City/Town) (State/Foreign Country)