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Student Data Form 2012-2013
Welcome to our class. By now you know that we use computers a lot. This may be your first chance to fill out a form, but it won't be your last. Please complete as much as you can in the fields below.
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
G-mail address PLEASE TYPE IT CAREFULLY!
If you do not have a g-mail account yet please skip this question, but get one!
Your answer
Alternate e-mail address
If you have another e-mail address please list it here.
Your answer
Best phone number to reach you.
*
If I call you it's probably for a good reason.
Your answer
Which period are you in?
*
Hint: If you are with me for advisory you can check more than one box.
3
4
5 Advisory
Required
On a scale of 1-5 how comfortable are you with using a computer?
*
Not at all comfortable
1
2
3
4
5
I'm a computer expert
Please put a check next to the things you have used.
*
If you've used other sites you think I should ask about let me know.
Twitter
Facebook
Google Docs
G-mail
Another e-mail service (Yahoo, Hotmail etc.)
Blogger
Wordpress or other blogging platform
YouTube
Tumbler
PhotoShop
GarageBand or similar audio editor
iMovie or other video editor
None of the above
Edmodo
Other:
Required
Please tell me something about yourself so that I can get to know you better.
Books, music, family, friends, whatever you think I should know.
Your answer
What kinds of rules or expectations would you like to see in our classroom?
Your answer
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