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Name

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* 1. Name

Age

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* 2. Age

Tribal Affiliation

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* 3. Tribal Affiliation

Are you currently learning a Native Californian language?

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* 4. Are you currently learning a Native Californian language?

How would you characterize your level
of speaking or fluency as a learner of a Pomo and/or Miwok language?

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* 5. How would you characterize your level
of speaking or fluency as a learner of a Pomo and/or Miwok language?

If you understand a Native Californian language but do not speak it, please describe
the language/dialect you understand and your level of understanding below.

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* 6. If you understand a Native Californian language but do not speak it, please describe
the language/dialect you understand and your level of understanding below.

Do you have any experience with Online Courses?

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* 7. Do you have any experience with Online Courses?

How many hours are you planning on spending on this class each week?

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* 8. How many hours are you planning on spending on this class each week?

Pick a statement that best describes your intentions for the course.

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* 9. Pick a statement that best describes your intentions for the course.

Why did you enroll in this course?

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* 10. Why did you enroll in this course?

  Definitely Not Somewhat Absolutely
General interest in topic
Relevant to job and community experience
Communicate with family and friends
Experience an online course
For personal growth and cultural/linguistic enrichment
A fun challenge
How would you asses your skills as a learner/speaker of a Native Californian language?

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* 11. How would you asses your skills as a learner/speaker of a Native Californian language?

  No Experience Elementary Proficiency Limited Working Proficiency Communicative Proficiency Native/Bilingual Proficiency
Written Language Skills
Spoken Language Skills
Conversation Comprenhension Skills
Pronunciation Skills
How available are the following language learning resources to you in your community?

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* 12. How available are the following language learning resources to you in your community?

  Not Available Rarely Available Sometimes Available Mostly Always
Community Classes
Dictionaries
CDs
DVDs
The Internet
Games
Mobile Apps
On a scale of 1 -10, ten being the best and one being the worst,  How helpful would these resources be for learning and communicating in a Native Californian language?

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* 13. On a scale of 1 -10, ten being the best and one being the worst,  How helpful would these resources be for learning and communicating in a Native Californian language?

  1 2 3 4 5 6 7 8 9 10
Dictionaries
Podcasts
DVDs
CDs
Community Classes
Online Courses
Computer Games
Youtube Videos
Mobile Apps
Social Media Support Groups

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