Technology Access Survey
Skills Inc. Client Tech Access Survey
Client Code (First three letters of last name then first three letters of first name) *
Email *
Address *
Phone number
Do you currently have cellular service and an operational cell phone? *
Who is your cell phone provider? (select one) *
Does your plan provide unlimited data? *
Do you have access to a laptop, computer or tablet (android or apple product)? *
Wifi Access *
Internet Provider (select one)
Clear selection
Would you be interested in participating in online (virtual) skills class & with face to face job coaching training? *
What topics would you prefer offered virtually?  Select all preferences *
Required
Virtual lesson topic suggestion
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Skills, inc. Report Abuse
Google Forms