Introduce Yourself Form

Welcome to our class. Help me get acquainted with you by completing this online questionnaire.

Please fill in the following information; if you wish to leave any response blank, you may do so. Your answers will assist us in making this learning experience as relevant as possible to all participants.

About You

First Name:
Last Name:
Email Address:
Home City:
Home State/Country:
What is your school email address or a backup second email address that may be used to communicate with you during this class?

About Your Work

Job Title

Classroom Teacher
Reading Specialist
Library Media Specialist/Librarian
Administrator
Other, please specify:

Grade Level(s) you teach:

Years in teaching?

1-5
6-10
11-15
More than 15 years in education

School name

Location of school (city, state/country)

About your computer connection and your computer experience

Where will you connect to complete assignments?

Home
School
Both
Other, please specify:

Connection Type

Modem
Cable
Wireless
T-1 Line
No idea

My computer is

Windows-based PC
Mac

Rate your comfort level with computers in general

Confident and experienced
Feel competent most of the time
OK, sometimes nervous
Like a complete novice, I avoid the computer

How long have you been using the Internet?

1-6 months
7-12 months
1-2 years
2 years or more

When it comes to using e-mail, I...

Am able to send messages to multiple people
Am able to attach documents to my e-mail
Know how to open attachments
Know how to save as text and attach
Know how to save a document as a "rich text format" (rtf) and attach to an e-mail
Participate in at least one educational listserv
Have used e-mail to communicate with friends and family
Contact experts or collaborate with other classrooms
Communicate with colleagues and parents
Know how to cut and paste
Feel that email is an integral part of my life

Describe your primary Internet usage in the past.

Mostly e-mail
Web surfing
Searching for information
Continuing Education Courses

Provide a little background information about yourself, what you are currently doing and why you want to take this class. Tell me briefly about your professional position and background – and something that will help me "remember" you (a unique interest or bit of information about yourself).

Do you have any questions you would like answered before you begin? If yes, please send me your questions in this response box.