CalWORKs Student Services:  Technology Needs Assessment
The CalWORKs Student Services Program at Miramar College wants to help you get your technology needs met.  

Answering these questions will help us understand your needs and how to help you be more successful in school.  

Thank you.  We look forward to working with you!
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Email *
First Name *
Last Name *
Student ID Number *
Do you own a computer? *
Required
Do you own a tablet?  Please check all that apply: *
Required
Do you own a printer? *
Required
Do you need a printer? *
Required
Can you afford to purchase ink for a printer? *
Required
Do you have internet access at home? *
Required
What internet provider serves your home? *
Required
Can you afford to pay for your internet plan? *
Required
Do you have a cell phone? *
Required
What cell phone company do you use? *
Required
Can you afford to pay for your cell phone plan? *
Required
We would like to understand your transportation needs.   How do you get to college? Please check all that apply: *
Required
Do you rely on others for rides to college? *
Required
If you rely on others for rides to college, what do you do if that person is not able to take you to school?  Please explain below:
Do you know how to use public transportation (bus or trolley)? *
Required
Do you have any other technology or transportation needs we did not ask about?  Please explain below. *
A copy of your responses will be emailed to the address you provided.
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