Community Technology Survey
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1. Technology Access Survey
1
. If classes were offered that could help increase your knowledge and use of technology for everyday use would you be interested?
If classes were offered that could help increase your knowledge and use of technology for everyday use would you be interested?
Yes
No
2
. When would you be able to attend classes if available? (check all that apply)
When would you be able to attend classes if available? (check all that apply)
Weekday Evenings
Weekend Days
Anytime
3
. Check the box next to any of the following classes you might be interested in if made available. If you mark other please let us know what else should be added to the list.
Check the box next to any of the following classes you might be interested in if made available. If you mark other please let us know what else should be added to the list.
Microsoft Office (Word, Excel, PowerPoint)
Microsoft Windows 101 (Learn how to maneuver in Windows)
Digital Photography
Basic Photo Editing
Internet Safety
Other (please specify)
4
. Would you be interested in the School District having computers available for use in the evening?
Would you be interested in the School District having computers available for use in the evening?
Yes
No
5
. Please provide your contact info if you wish to be contacted if classes and/or open computer labs are made available.
Please provide your contact info if you wish to be contacted if classes and/or open computer labs are made available.
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Email Address:
Phone Number:
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