| Class Enrollment Form, Introduction to Technology Block #______, Student #____n/a______ |
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1. Last Name___________________ First Name___________________ 2. Parents* 2a. Father's First & Last Name_________________________________ 2b. Mother's First & Last Name__________________________________ *Parent or guardian with whom you are living? Person or persons who have parental responsibility. 3. Parents' occupations* 3a. Father's occupation______________________________________ 3b. Mother's occupation______________________________________ 4. Home phone number________________ 5. Grade level ________ 6. Do you have access to a computer at home? _______ 7. Is it a Macintosh or Windows machine?_________________________ 8. Do you have access to the Internet at home? _______ 9. If so, Is your Internet connection by telephone line or by cable?___________ 10. What is your home email address?_____________________________ 11. What kinds of computer programs have you used? word processor data base spread sheet presentation scanner paint CAD 12. Rate your level of proficiency on use of computer 13. What, if any, industrial technology courses have you taken? Grade Level Course Name Course Length Course Activities __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ 14. In what school activities (athletics, music, speech, student clubs, etc.) do you plan to participate this year? __________________________________________________________ __________________________________________________________ 15. What would you like to learn in this class? __________________________________________________________ __________________________________________________________ __________________________________________________________ 16. What do you want to do from educational and work standpoints after you finish high school? What are your aspirations? __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ 17. Who is your faculty advisor?________________________ 18. What are your hobbies? What do you especially like to do? What are you especially good at? __________________________________________________________ __________________________________________________________ __________________________________________________________ 19. What tools and equipment do you use at home? __________________________________________________________ __________________________________________________________ 20. What do you plan to do after graduating from high school? _________________________________________________________ _________________________________________________________top