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Students
Educators
Administrators
Advancing CA Adult Education
Events
Launchboard
Request Support
Home
Students
Educators
Administrators
Advancing CA Adult Education
Events
Student Technology Intake Survey
If you have filled out this survey already, you do not have to fill it out again.
A printable PDF version of this survey is available for download here:
Student Technology Intake Survey
To see this form in your language use the "Select Language" button in the top-right of the page and make your choice.
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
Advertisement
Other
* indicates required fields