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* 1. Name

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* 2. Best email for contact

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* 3. Semester

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* 4. Department

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* 5. Class for Universal Learning Tool

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* 6. Comfort level with computers (0 equals none)

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i We adjusted the number you entered based on the slider’s scale.

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* 7. I'm interested in using a Smartpen in my math class to create animated audio notes (teachers in other disciplines can also request Smatpens) 

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* 8. I'm interested in using Kurzweil for Text to Speech for the following (check all that apply)

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* 9. I'm interested in Sonocent for recording my lectures and making them available to students as audio with text in English, and text in an additional language (check all that apply)

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* 10. What additional support do you anticipate needing?

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* 11. What would help you evaluate success? (check all that apply)

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