Name

School

Grade

Technology Questions:

Would you attend a Technology class? (Learn about I-Pods, podcasting, creating website, mp3 players, instant messaging, Internet safety tips) Yes       No

I know how to useI want to learn more

Podcasting

Instant Messaging

MySpace

FaceBook

iPod/MP3 players

Flash Drives

Text Terms (lol, idk, bff)

Danger on the Web

Creating and designing websites

Blogging

Microsoft Word

Microsoft PowerPoint

Microsoft Publisher

Windows Movie Maker

Microsoft Excel

I would like to learn more about:

YesNo

Do you have a computer at home?

Do you have Internet connection?

Did you know UB has a MySpace account?

    If yes, have you visited it?

    Will you visit our MySpace page?

    Do you have a MySpace account?

    What is your MySpace ID?

Do you have a FaceBook account?

    What is your FaceBook ID?

Do you have an email account?

    Do you check your email regularly?

    What is your email address?

Did you know UB has a website?

    Have you visited the webite?

    If you could download and print forms from the internet, would you?

    If you could sign up for events online, would you?

Do you have a cell phone?

Do you use text messaging?

Job Shadowing:

What job would you like to learn more about by visiting?

Best time for you to job shadow (i.e. after school, evening)

Program Suggestions:

Who is your UB advisor? ~~~ pick one ~~~ Kolby Hoebing David Camphouse

Do you have any suggestions for the program? Please add your comments here.

My advisor helped me out a lot? Totally Agree    Agree    Disagree    Strongly Disagree

My advisor helped me with (check all that apply):