ECI 617 - Foundations of Instructional Technology: Student Information Form

Please fill out the following form as completely as possible. This data will help Dr. Hollenbeck configure the class as closely as possible to your needs.
First Name
Last Name
Student ID
Department of Major
Primary Email Address
Web Address (if applicable)
Contact Phone (place where you will get a message)
Course Goals What do you want to accomplish in this course?
Course Hopes What do you hope will or will not happen.
Do you have home and/or work access to a computer?	Yes No
What brand is the computer?
What operating system is it?	Windows Macintosh UNIX
What kind of Internet connection (leave blank if none)
What kinds of computer(s) can you use?	Windows Macintosh UNIX
What kind of computer to your prefer?
Have you taken OTS 251 or equivalent?	Yes No
Please rate your computer skills for each specialty 1=very weak 5=very strong
General Computing	1	2	3	4	5
Word Processing	1	2	3	4	5
Database	1	2	3	4	5
Spreadsheet	1	2	3	4	5
Presentation (i.e. PowerPoint)	1	2	3	4	5
Graphics	1	2	3	4	5
Browsing the World Wide Web	1	2	3	4	5
Making a Web page using an editor	1	2	3	4	5
Coding a Web page using HTML	1	2	3	4	5
Advanced Web skills such as JavaScript and CSS	1	2	3	4	5
Hypermedia experience (i.e. HyperStudio)	1	2	3	4	5
Macromedia Director	1	2	3	4	5
Video	1	2	3	4	5
Other Comments

Last modified Thursday, April 13, 2006 9:52 AM
.