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Sample Student Technology Form
* Indicates required question
Email
*
Your email
Will you have reliable access to a stable internet connection?
*
Yes, high bandwidth
Yes, but not enough bandwidth for realtime video
No
Will you have reliable access to a desktop or laptop computer, on which you can install software?
*
Yes
No
What Time Zone will you be working in, e.g., EDT, CDT, MDT, PDT?
Your answer
Is there anything that would interfere with you participating in a video conference during our scheduled class time?
Your answer
What are your concerns about moving the class online?
Your answer
Do you have accessibility requests regarding online learning?
Your answer
If you've taken an online course before, what worked? What didn't?
Your answer
Is there anything else you'd like me to know or be thinking about I try to prepare this course?
Your answer
Send me a copy of my responses.
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