50% of survey complete.

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* 1. First Name

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* 2. Last Name

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* 3. What is your zip code?

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* 4. At what email address would you like to be contacted?

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* 5. Please provide a telephone number where you can be reached

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* 6. Please select your class(es) from the list below.

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* 7. Please describe yourself

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* 8. Do you have access to a computer & internet outside of the Technology Learning Center?

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* 9. How did you hear about this program?

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