Student Information Sheet
Name: 


A red asterisk (*) indicates required questions.

  1. Student Code: *


  1. Your Email Address:*


  1. Your Cell Phone #: *


  1. Can your phone receive text messages?*
    Yes
    No


  1. Do you Tweet?*
    Yes
    No


  1. Do you have a Facebook account?*
    Yes
    No


  1. Do you have home internet access?*
    Yes
    No


  1. Are you comfortable going online?*
    Yes
    No


  1. Do you have a Google or Yahoo Account?*
    Yes
    No


  1. Do you like to take exams online? *
    Yes
    No


  1. Do you have a part-time job?*
    Yes
    No


  1. Please describe the one item that you would like to learn more about in this class below: *


  1. What are your career plans after graduating from high school:*


  1. Please explain any difficulties you have with the use of technology (computers,web access, etc.) in the classroom:*


  1. Please take a moment and tell me a little more about yourself: