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1. First and Last Name:

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2. I think learning about Technology is important.

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3. I have these electronic devices available to me at home:

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4. I feel nervous about taking a class all about Technology.

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5. One time I did something cool using technology.  I used an app, software, website, etc. and I made.....

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6. These are apps and social networking tools I have used before:  Please list them:

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7. I have an internet connection at home:

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8. I feel like I know how to use a regular desktop computer or laptop/netbook:

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9. I feel like other kids my age are better at using technology than me.

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10. I feel like I can use a smartphone or a tablet better than I can use a regular desktop computer/laptop/netbook.

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11. I think I could be a helper and help other kids if they get stuck with technology.

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