Sample Student Information Form
This is a *sample* form that would be completed by students at the start of a class in which social media tools will be used for learning activities.
Instructions: Please complete the information below to help me understand more about you and your individual learning needs. Required questions are marked with an asterisk (*).
I have read and agree to abide to our "Community Groundrules."
If you select "No," I will contact you directly to discuss your concerns.
Check all that describe you.
I know how to take digital pictures.
I know how to take a digital picture and save it to my computer (insert device, browse for image, and upload).
I know how to download an image from the internet.
I know how to use a microphone to record audio into a computer.
I know how to use a webcam.
I have access to a digital camera or phone that I can use to take digital pictures.
I have access to a computer with a microphone or webcam that I can use for this class.
Do you have an iPhone, iPad, or iPod Touch?
If so, you can use the free VoiceThread app!
Which type of learning environment is more appealing to you?
Student-centered learning encourages students to create, collaborate, and contribute. Teacher-centered learning requires students to memorize and recite information.
You will be required to leave voice or webcam comments in this class. Which of the following methods will you use to do so?
I will use a microphone with my computer to leave voice comments.
I will use the webcam on my computer to leave video comments..
I have an iPhone, iPad, or iPod Touch and will use the free VoiceThread app to leave voice comments.
I will use my phone to leave voice comments (if you check here, I will contact you and set you up with free phone commenting minutes).
How do you feel about the idea of sharing your ideas through voice comments in our class VoiceThreads?
A little nervous
I'm ok with it but would prefer not to have to do it.
I'm really not feeling good about it.
In one word, describe how you are feeling about this class.
What is one characteristic of a great online class?
If you have a certified learning or physical disability that requires an accommodation, please let me know here. This is a private exchange.
Is there anything you'd like to share with me at this point?
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