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* 1. The job classification that most closely matches my position:

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* 2. The grade level that most closely matches my position is:

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* 3. The academic content area(s) I teach are:

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* 4. Choose the statement that best describes the level of your technology skills.

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* 5. To what degree are you prepared to use the following tools?

  Fully Prepared Somewhat Prepared Not Prepared N/A
Accessing or creating podcasts
Audio/Video production/editing (Audacity, GarageBand, iMovie, MovieMaker, etc.)
Blogs
Classroom response system (clickers, etc.)
Classroom voice amplification systems
Cloud Computing
Content specific applications (math, social studies, music, etc.)
Database software
E-mail (student)
Flash cards/worksheets websites
Image (photo) editing
Integrated learning systems (Compass Learning Odyssey, Plato Learning, etc.)
Interactive whiteboard software (SMART Notebook, etc.)
Internet resources
iPads/iPods
Library catalogs
Moodle
Online research databases available through school library/media center
Presentation software
Schoolwires
Simulations
Social Media (Facebook, Twitter, etc.)
Spreadsheets
Tutorials
Videoconferencing
Video streaming (United Streaming/Discovery Online, Learn 360, YouTube, etc.)
Visualization/graphic organizers (Inspiration, etc.)
Web portals
Word processing

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* 6. On which of the following technology tools do you want more training?

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* 7. How often are the following technology tools integrated in your classes?

  Daily Weekly Infrequently Never N/A
Accessing or creating podcasts
Audio/Video production/editing (Audacity, GarageBand, iMovie, MovieMaker, etc.)
Blogs
Classroom response system (clickers, etc.)
Classroom voice amplification systems
Cloud Computing
Content specific applications (math, social studies, music, etc.)
Database software
E-mail (student)
Flash cards/worksheets websites
Image (photo) editing
Integrated learning systems (Compass Learning Odyssey, Plato Learning, etc.)
Interactive whiteboard software (SMART Notebook, etc.)
Internet resources
iPads/iPods
Library catalogs
Moodle
Online research databases available through school library/media center
Presentation software
Schoolwires
Simulations
Social Media (Facebook, Twitter, etc.)
Spreadsheets
Tutorials
Videoconferencing
Video streaming (United Streaming/Discovery Online, Learn 360, YouTube, etc.)
Visualization/graphic organizers (Inspiration, etc.)
Web portals
Word processing

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* 8. What best describes your current practice of using technology in instruction?

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* 9. How often do students in your classes use technology to:

  Daily Weekly Infrequently Never N/A
Access class information online (assignments, calendars, information)
Access the Internet for research
Collaborate with other students
Collaborate with audiences globally
Participate in online projects
Produce products designed by the teacher
Produce products of their own design
Produce work intended for audience beyond the classroom

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* 10. Rate the relevance of the following factors in your decision to use technology in instruction.

  Very relevant Relevant Somewhat relevant Not a consideration
Implementing national, state or local technology standards (ISTE NETS, MEMO, etc.)
Observing my colleagues successfully using technology to teach a concept
Using scientifically-based research that suggests a particular technology application improves student learning
Motivating and engaging learners
Creating a more learner-centered classroom with students exploring their own questions and building their own knowledge

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* 11. Which of these tools do you use to communicate with students and/or parents?

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* 12. At what level do you integrate online learning in your classes?

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* 13. Choose the statement that best describes how Internet safety is addressed in your classroom.

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* 14. Do you feel the technology tools you have available allow you to complete your work both efficiently and effectively?

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* 15. Do you feel the technology tools your students have available allow them to complete their work both efficiently and effectively?

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* 16. What additional information do you think might be relevant to describing the use of instructional technology in your classroom and/or district?

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