E-Learning for Educators: Build Your Online Classroom

Welcome to our class. Please take a few minutes to complete this online questionnaire. Knowing a bit of background information about each of my students helps me remember "faces" on the Internet.

Your answers will assist me in individualizing the course to meet your professional goals.

About You

First Name:
Last Name:
Email Address:
Home City:
Home State/Country:


I am enrolling in the...

January class
April class
June class
July class
October class

About Your Work

Job Title

Classroom Teacher
Media Specialist
Administrator
Technology coordinator
Community College Instructor
Other, please specify:

Grade level(s) you teach:


Subject area or speciality


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
Dial-up Modem
Cable/Broadband
Wireless
T-1 Line
No idea

My computer is
Windows-based PC
Mac

Rate your comfort level with computers in general
Confident and experienced
Confident and experienced and I assist others
Feel competent most of the time
OK, will ask for help when needed
Feel like a novice, I avoid the computer

How long have you been using the Internet?
1-2 years
2-4 years
5 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 and open attachments
Know how to save a document as text or a "rich text format" (rtf) and attach to an e-mail
Participate in at least one educational listserv
Contact experts or collaborate with other classrooms
Communicate with colleagues and parents
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
Creating/maintaining web pages
Instructing others

Have you ever used an online discussion board such as WebBoard, WebCT, Blackboard, eCollege or other discussion boards? Please explain.


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.

© COPYRIGHT 2005 Dennis O'Connor All Rights Reserved.
Credits: Logo design by Carlo Vergara
Last Updated: