Student Technology Intake Survey - California Adult Education Program

1. What school are you going to: *

Tulare Adult School (Tulare Joint Union High School District)

2. What is your first and last name?

First *

Last *

3. If you attended our school in the past, what was your teacher’s name?

4. What classes or programs are you interested in? *

Basic Skills

High School Diploma

High School Equivalency (GED, HiSET, TASC)

English as a Second Language

Citizenship Preparation

Career Technical Education

Workforce Preparation

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

6. Do you use email at home or at school? *

Yes No

7. If you use email at home or at school, what is your email address?

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

9. Is your cell phone a smart phone? *

Yes No

10. Have you ever taken a class online? *

Yes No

11. What is your feeling about learning online? *

I will continue to learn online. I don't think I can learn online right now.

12. Which device(s) do you or can you use for online learning? (Check all that apply) *

Cell phone

Tablet

Laptop or computer

None (I don’t have a device)

Other

13. Do you share this computer, laptop, or other device with others at home? *

Yes No

14. How do you connect to the internet? *

Through my phone

Wifi/Internet connection in my home

Personal Hotspot

WiFi in the community

Other

15. Do you have data limits at home or on your phone that would keep you from learning? *

Yes No I don't know

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

Yes No

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

I do not need additional help

a device to help me study online

help to get on the Internet like a mobile hotspot

help getting into my online textbooks and/or classes

technical help fixing or using online stuff

flexible study times

Other

18. How did you hear about our school?

Website

Catalog

Family or Friend

Other