Teaching With Social Media: Student Information Form

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Please complete the information below to help me understand more about you and your individual learning needs. Required questions are marked with an asterisk (*).

First Name *

Last Name *

I have read and agreed to the Conditions of Participation. *

If you select "No," I will contact you directly to discuss your concerns.

Yes

I have read and agreed to abide to our "Community Groundrules." *

If you select "No," I will contact you directly to discuss your concerns.

Yes

Which of the following best describes your level of online learning experience? *

This is my first year taking an online class.

I have successfully completed 1st online class.

I have successfully completed 2nd online class.

I have successfully completed 3rd online class.

I have enrolled in online classes before but I have not successfully completed one.

Which of the following mobile devices do you own? *

Please check all that apply.

a cell phone (makes phone calls and sends/receives text messages)

a smartphone (a cell phone with internet access; i.e. an iPhone, Droid, etc.)

a tablet (iPad, Xoom, Galaxy, etc.)

laptop

Required

Check all that describe you. *

I take digital pictures.

I know how to take an image with my webcamera or phone 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.

Required

How familiar are you with blogging? *

I don't know what a blog is.

I have heard of blogging but I'm not very sure what it is.

I have read blogs but don't have my own.

I have read and commented on blogs but don't have my own.

I am a blogger.

I have access to a digital camera or phone that takes digital pictures? *

Yes

I have access to a computer with a microphone and / or webcam. *

Yes

How comfortable are you with experimenting with new technologies? *

not comfortable

very comfortable

Which type of online 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.

Student-Centered

Teacher-Centered

In one word, describe how you are feeling about this class. *

In your opinion, what is the most important quality of an excellent online instructor? *

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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