Application - Screen Reader User Tester Training (SRUTT) Program

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Submit this application to be considered for admission to the remote SRUTT) Program offered by the Carroll Center for the Blind!

Email *

General Information

Name (first and last): *

Year of birth: *

Street Address: *

Street Address line two (if applicable):

City: *

State: *

Zipcode: *

Phone Number: *

Name of the agency for the blind or other entity that will likely fund your SRUTT participation: *

Name of vision rehabilitation counselor or other funding source representative:

Funding representative phone number:

Funding representative email address:

Highest education level achieved: *

High School Diploma

Some College

Associate's Degree

Bachelor's Degree

Master's Degree

PhD Degree

Other:

Are you a U.S. citizen? *

Yes

Country of origin: *

Are you a veteran? *

Yes

Race/ethnicity:

Ability to communicate complex ideas in English through reading, writing, and speaking:

Not at all

Absolutely

Technology Skills & Equipment

Typing speed (use numbers not words, report words per minute): *

Typing accuracy (use numbers not words, report as a percent out of 100%): *

Have you ever received formal assistive technology training in the past? Please describe. *

For how many years have you used a Windows desktop screen reader, such as JAWS or NVDA? (use numbers, not words): *

Please identify your Windows computer specifications, including brand, RAM, processor, and OS version: *

Please identify the version of Microsoft Office you are using: *

Please identify the JAWS version you are using: *

Please identify the NVDA version you are using: *

Please checkk all programs that you have installed on your computer: *

Adobe Acrobat Reader DC

Dropbox

Google Chrome

Google Drive for Desktop

JAWS

Microsoft Edge

Microsoft Office

Mozilla Firefox

NVDA

One Drive

Zoom Windows Client for Desktop

Required

Which email client do you use on your computer? *

Gmail on the web in basic HTML view

Gmail on the web in standard view

Outlook desktop app

Outlook on the web

Thunderbird

Windows Mail desktop app

Other:

Which calendar client do you use on your computer? *

An Excel spreadsheet

A word document of events

Google Calendar on the web

Outlook calendar on desktop

Other:

Please identify your smartphone brand, model, and OS version: *

Accounts

What is the email address associated with your Zoom account? *

What is your Gmail email address? *

How did you hear about the Screen Reader User Tester Training Program?

Send me a copy of my responses.

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