Student Info Form

Completion of the form below will allow me to become acquainted with you so that we may better manage your learning this semester. Any personal information entered will remain strictly confidential within the Business/CAOT Department.

Last Name First Name

Student ID (use hyphens: 000-00-0000)

Street Address

City Zip Code

Telephone (Day)	Area Code	Number
Telephone (Evening)	Area Code	Number

Email Address

Which of the following best describes your keyboarding skills (select two, one in each column):

I can type: (select one)
But I have to look at my hands
Sometimes without looking at my hands
Without looking at my hands

I can type: (select one)
25-30 wam
35-40 wam
45-50 wam or faster
I don't know my typing speed

Which of the following best describes your ability to use MS Word (select one):

I know only the features I learned in COAT 1, Beginning Keyboarding
I took a MS Office survey course and know how to create, save, and edit files
I completed a semester-long course in MS Word 2003
I completed a semester-long course in MS Word 2007
I completed an ONLINE course in MS Word 2003
I completed an ONLINE course in MS Word 2007
I don't know how to use Word

Do you own your own computer?

Yes No

Keyboarding courses you have completed (select all that apply by depressing CTRL while you click)

Computer applications courses you have completed (select all that apply by depressing CTRL while you click):

What is your purpose in taking this course? (Do NOT press the Enter key when your typed text reaches the right edge of the text box; word wrap will begin a new line for you.)

This course may require up to an additional five hours of homework time, depending upon how much work you complete during class time. Indicate below on what days of the week and which hours on those days you plan to dedicate to this course (example: Mondays, 9-11 p.m., and Thursdays, 7-10 p.m.). The number of hours should total five. (Again, do NOT press the Enter key when you reach the right edge of the text box below.)

Thank you for completing this questionnaire. Please click on the Submit button below.