Student Survey

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* Indicates required field

Name *

First

Last

Email *

Have you set up your MPC email? *

No Yes - please put that email address in the box below

MPC Email *

Cell Phone Number *

City of residence *

What is your comfort level with technology? *

Very comfortable with the Internet, email, computers, and smartphones. I can do a few things but would like to know some more. Beginner

Have you setup and used MPC WebReg? *

Yes No Not Sure

Have you taken a class online or used MPCOnline? *

Yes No Not Sure

Do you know how to text message? *

Yes No

What kinds of Technology do you have access to outside of school? (Check all that apply) *

Desktop Computer Laptop Cell phone Internet Access

Which of these programs or applications are you familiar with? (Check all that apply) *

Kurzweil 3000 Google Docs (Drive) Khan Academy Microsoft Word SkillsTutor None of these

What is your level of keyboarding skill? *

Speedy OK- but could be better Slow

Where do you want to be in 5 years and how does this class help you toward this goal? *

What kinds of jobs/careers/skills do you have or have you had in your life? *

What are your hobbies? *

List 3 movies, TV shows, or books you like. *

Please list any disabilities, medications, health issues, or other information that you feel the instructor may need to know about for this class or lab. (Optional and confidential) *

Submit

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LABS
Assistive Tech
Alternate Media
TRAINING
People
New Page