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C00002 00002	_____________________    S.A.I.L. REGISTRATION FORM	________________________
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_____________________    S.A.I.L. REGISTRATION FORM	________________________
  leave blank							Date

Mr. Ms.
Miss Mrs.
Dr. Prof._____________________________________________  _________________________
	    First Name      Initial       Last Name        Friendly Name

LOCAL ADDRESS:___________________________________________________________________

TOWN:___________________________ZIP___________ HOME TELEPHONE____________________


DEPARTMENT:________________________ POSITION:____________________________________
             (e.g. CSD,EE,etc.)                    (e.g. Student,SRA,etc.)

PROJECT(S)_________________________________________SAIL ROOM NO._________________
	  (e.g. Hand-Eye, Formal Reasoning, etc.)


PROGRAMMER INITIALS (2 OR 3):______________ BIRTHDAY ____________________________


FELLOWSHIP?   TYPE:________________________


ARE YOU TO BE PAID FROM A.I. LAB FUNDS?     YES:_________         NO.:___________
			    If yes, please complete the form.  If no, you're done.

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IF STUDENT, STUDENT NO.:_______________


IF PREVIOUSLY EMPLOYED AT STANFORD, WHERE/WHEN?__________________________________


OPTIONAL INFORMATION TO BE USED IN CASE OF AN EMERGENCY:
Person(s) to be contacted:	      		       Blood Type________________

Name__________________________________Relationship_______________________________

Address______________________________________________Telephone___________________

Doctor's Name________________________________________Telephone___________________

Special medical conditions (e.g. heart trouble, drug sensitivity, epilepsy, etc.):

_________________________________________________________________________________