Student Technology Intake Survey - California Adult Education Program

1. Where do you go to school? *

Tulare Adult School (Tulare Joint Union High School District)

2. What is your first and last name?

First *

Last *

3. What classes do you want to take? (Check all that apply) *

Basic Skills

High School Diploma
HS Diploma

High School Equivalency (GED, HiSET, TASC)
HS Equivalency

English as a Second Language
English as Second Language

Citizenship Preparation

Career Technical Education

4. What are your career, employment, or educational interests or goals?

5. Do you use email? *

Yes
No

6. If you answered yes to Question 5, what is your email address?

7. What is a cell phone number where you can be reached?

8. Have you ever taken an online (remote) class? *

Yes
No

9. Do you prefer to learn online (remote), in-person, or both (hybrid)? Please explain why. *

Online (remote)
In-person
Both (hybrid)

Why do you like to learn this way?

10. What do you use for online learning? (Check all that apply) *

Cell phone

Tablet

Laptop or Computer or Chromebook
Laptop Computer

Not sure

I don't have a device

11. Do you share this computer, laptop, tablet, or phone with others? *

Yes
No

12. How do you connect to the internet? (Check all that apply) *

Through my phone

Wifi/Internet connection in my home

Personal Hotspot

WiFi in the community

WiFi at school

Other

13. Do you have reliable and affordable internet at home? *

Yes
No, it is too expensive right now
No, it usually doesn’t work
No, it is too slow to use

14. Do you have a quiet place to study at home? *

Yes
No

15. Please mark the items below that would help you to study online. (Check all that apply) *

A device to help me study online

Help to get on the Internet like a mobile hotspot

Tech support getting into online classes, using online resources, fixing equipment, etc.

Flexible study times

A basic computer or keyboarding class

I do not need additional help

Other

16. How did you hear about our school? (Check all that apply)

Website

Catalog

Family or Friend

Social media

Email

Other