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Completing this form will allow me know more about you and enhance our 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 computer skills (select two, one in each column):

I have knowledge and have the following software products (select all that apply)
 New to computers

 Windows XP
 Microsoft Word
 Microsoft Excel

I can type:  (select one)
 
Web Page design
 Desktop Publishing
 Microsoft Access
 
Do you own your own computer?  Yes      No

Do you have Microsoft Publisher software at home?

Yes     No

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.)

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