Name (Last Name, First Name (& Name to call you)

Class Period A2 A3 A5 A6

Personal Email

Personal Cell Phone Number

Parent/Guardian Place of Employment, if applic.

Parents Daytime phone(s) Other Than Home

Brothers, Sisters & Ages

New at B'wood? Yes No

Birth Date & Graduation Year

Courses Currently Taking?

B'wood Sports or Activities?

Outside of School Activities?

Name of Keyboarding Teacher?

Did you test out of Keyboarding? If so, when? Where?

Other previous Computer Classes? Name them.

How much time do you spend on Computer/Internet?

Have you ever built a web site? If so, what type?

Have you ever used HTML? Yes No

Any experience with Dreamweaver? Yes No

Have you ever used Flash?

Have you used Photoshop? Yes No

Have you ever used MovieMaker? Yes No

What are your plans after graduation?

If college, where and what major?

What type of career are you interested in?

What would you like to learn from this class?

Anything else you want to tell me about you?

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