Computer Request Form

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    MFB CyberSurvey

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    Basic Computer Skills Assessment

    Please answer the questions even if you do not own a computer. Please rate your computer proficiency using the following scale 1-5 in each of the following skills: 1- Not at all 2- Beginner level 3- Some experience, but in need of practice 4- Reasonable proficient 5- Experienced and very proficient
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    Please print and mail this completed application to: Memorial Foundation for the Blind 799 West Boylston Street Worcester, MA 01606 Or email completed application by clicking on Submit button