A red asterisk (*) indicates required questions.

  1. Address*

  1. City*

  1. ZIP *

  1. E-Mail: *

  1. Parish or School Name

  1. Home Phone and area code

  1. Work Phone and area code

  1. Mobile Phone and area code

  1. Parish Catechetical Leader

  1. School Principal

  1. Your Area of Ministry or Grade Level You Are Teaching
    K thru 3 Catholic School
    4 thru 6 Catholic School
    7 thru 8 Catholic School
    Catholic High School Religion Teacher
    K thru 3 Catechist
    4 thru 6 Catechist
    7 thru 8 Catechist
    Youth Minister
    RCIA Leader/Catechist
    Adult Faith Formation

  1. If you checked "other", you are a...

  1. In the next two questions , ONLY ANSWER #14 or #15.

    If you are registering for the Pastoral Technology Certificate Program which includes the Orientation, 6 modules, and the Capstone Project, choose #14.

    If you only want to take one, two, or three individual modules, which requires your participation in the Orientation Module. Then choose the modules as listed in Question # 15.

    Do you have any questions? If yes, please include your questions in your response at #33.

  1. I am registering for the SITM 2011 Pastoral Technology Certificate Program. (Please check your flyer for all the scheduled dates).

    Please make a check of $160 payable to INTERACTIVE CONNECTIONS and mail to: INTERACTIVE CONNECTIONS, 557 Dove Terrace West, Oldsmar, FL 34677. Attn: Caroline Cerveny, SSJ-TOSF. Registration Deadline is Friday, June 10, 2011. Write SITM 2011 in the memo line of your check. Final Balance Due: June 20.

  1. I am registering for the following INDIVIDUAL Modules at $25/Module Note ALL participants MUST attend the ORIENTATION SESSION.

    Please make a check payable to INTERACTIVE CONNECTIONS for the number of modules (#Modules x $25 = $$$$) you are attending and mail to: INTERACTIVE CONNECTIONS, 557 Dove Terrace West, Oldsmar, FL 34677. Attn: Caroline Cerveny, SSJ Registration Deadline is Friday, June 10, 2011. Write SITM 2011 in the memo line of your check. Final Balance Due: June 20.

    Note: Preference for module registration will be given to those who register for the certificate program.

    June 15 - Orientation Module - 9:00 AM to Noon (Mandatory)
    June 15 - Social Networking: Communities for Christ - 1:00 - 3:00 PM
    June 22 - Wiki's: Interacting, Collaborating, and Organizing for Ministry (Webinar)
    June 29 - Blogging: Sharing My Personal Faith Story (Webinar)
    July 6 - Digital Storytelling: Evangelizing in the Digital World (Webinar)
    July 13 - Mobile Devices and Ministry (Webinar)
    July 20 - Great Ideas for Your Catechetical Classroom with Web 2.0 Tools (Webinar)

  1. My computer access is through (check all available options):
    Laptop Computer
    Desktop Computer
    Mobile Device (i.e., Smartphone, Blackberry, iPad, etc.)
    Library, Public Facility

  1. Hardware Information- Please identify the following 1) Brand (e.g., IBM, HP, etc. 2) How old is the computer(s) you are using? 3) What operating system are you using? MS XP, MS Vista, etc. (EXAMPLE: Dell Dimension 8300, 5 years old, with Windows XP)

  1. I am familiar with the following computer systems (check all that you know about or have used):
    PC System
    MAC System

  1. Who provides your Internet Service?
    Bell South
    Road Runner
    I'm not sure

  1. If you checked "Other" what type of Internet Service are you using?

  1. What type of Internet Connection do you have available at your location?
    Phone Dialup
    I'm not sure

  1. If you checked "Other" what type of connection do you have?

  1. When I use a Computer, I am...
    Very Comfortable

  1. Please check which of the following you have available to you while using your computer (Check all that apply):
    Built in Speakers
    External Speakers
    Built in Camera
    External Camera (Webcam)

  1. When I use a computer, I communicate with others by using... (Check all that apply)
    List Serves
    Social Networking Websites (e.g., Facebook, Twitter, etc)
    Collaborative Photo Tools (e.g., Flickr, Picassa, Snapfish, etc.)
    Social Bookmarking (e.g., Delicious, Furl, Blinklist, etc.)
    Computer Assisted Conference Calling (e.g., varied services that provide free or fee-based conference calling services.
    Webinar Options (e.g., Go To Meeting, Yugma, etc.)
    Internet Phone and Video (e.g., Skype, ooVoo, etc.)

  1. Are you a WordPress Blogger?

  1. The type of digital camera that I use the most is .... (Choose the one you use most)
    Ultra compact digital cameras are capable of taking quality images. They are very small, lightweight, easy to use and convenient to carry. Some slip into a shirt pocket.
    Advanced digital camera geared to advanced amateurs with high quality lenses and advanced featuresd for creative control.
    Digital single lens reflex camera (DSLR), used by photo enthusiasts, are top-of-the line. They have outstanding optics, produce high resolution images and accept interchangeable lenses and sophisticated accessories.
    Cell phone camera
    I do not have a digital camera
    I do not have a digital camera, but I do have a SLR film camera.
    I do not have a digital camera, but I have a non-SLR film camera.

  1. When I use a digital camera, I know... (check all that apply)...
    how to compose a photograph
    how to white balance my camera
    the limitations and strengths of on camera flash
    how to edit my digital images
    what file format size to choose
    how to upload my images to my computer
    how to upload my images to a service like Flickr, Snapfish, etc.
    how to email images in a zip file for publication purposes
    how to email images to others for fun
    how to upload my photographs to Facebook and/or other social media options
    I do not know a thing about digital photography

  1. When I think of the possibilities of connecting and collaborating with others who live in a different geographic region than where I live, I...
    am excited about the possibility
    am cautious about the possibility
    don't like the idea at all

  1. When I want to learn about a new technology I usually do the following (Check all that fit you).
    On-Site training
    Webinar training (small groups using the computer and phone with a training leader)
    Written directions so that I can figure it out
    Point me towards the tools, I'll figure it out

  1. If there is anything else that you would like to comment on using communications technology with others, please add your comments here.

  1. What are your top three goals for this training?

  1. Looking at the topics, rank in order from your highest (12) to your lowest (1) what interests you the most. Use each number one time. You are ranking what interests you the most to your least topic of interest.

    For example:
    Facebook - 1
    Digital Storytelling- 5
    Photo-Sharing - 7
        1 2 3 4 5 6 7 8 9 10 11 12
    Digital Storytelling  
    Mobile Devices  
    Web Conferencing  
    Social Bookmarking  
    Web 2.0 Tools  

  1. Questions: