DIRECT COMMUNITY AUDIT FORM: Faculty
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1. Public Media Corps Community Survey (Schools)

 
Thank you for taking the time to participate in this brief Public Media Corps survey. Public Media Corps fellows are community media helpers who work in schools and community anchor organizations to give teachers, parents, and students improved access to a changing world of broadband connectivity and online communication.

Your information will help these fellows design media teaching aides, school events, student, and community activities/training designed to provide basic, and advanced information on connecting to a networked world for relevant and life-improving information.

1. What is your email address?

2. What is your residential zip code?

3. Who is your mobile phone provider/carrier?

4. Who is your local Internet access provider?

5. What is your role at this school? If “teacher” please list subject(s) you teach.

6. What is home address? (optional)

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7. What is your race?

8. How do you usually access the Internet at home?

9. If you have Internet access at home, how fast is your connection?

10. How many devices in your home access the Internet?

11. How many people in your home access the Internet?