Code the Spectrum Coding Class In-Take Survey

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This form is used to collect students' needs for course matching/scheduling purposes. Thank you!

Student's name *

Email address *

Phone number (if you prefer)

Student's age *

Student's school placement (public school or private school, mainstream or special class, with aid/shadow?) *

How would you describe the student's functioning level? What are the challenges for the student in the classroom setting? *

What is the student's strength? *

Please describe student's experience in coding (e.g., not started yet, taken one course for Scratch before, robotics summer camp experience, or been learning python for 2 years, etc) *

Please describe student's knowledge of Math (e.g., able to add/subtract, multiply/divide, understand positive/negative numbers, number comparison, degrees, (x,y) coordinate system). It is OK if some concepts are not introduced yet, as some of our courses may cover them. *

Please describe student's current computer related skills (e.g., using mouse, typing, web browsing, etc). *

Do you mind student taking a coding course that has a game environment (e.g., Minecraft, Roblox). *

Yes, better not exposed.

No, it does not matter.

Not sure.

For the following goals that may possibly be achieved by taking our coding classes, please score them based on how important they are to the student. (5: extremely important, 1: not concerned) *

Coding knowledge and skills

Critical thinking and creativity

Following instructions/Compliance in class

Attention span and ability to focus

Social and communication

Flexibility and emotion control

Computer literacy

Please select the class modes that work for you and student (You can choose more than one) *

Weekly in-person classes in Irvine, CA (2-3 students per class)

Online classes (1 student per class)

Hybrid (some classes online, and some classes in-person for project trouble shooting)

Other:

Required

What day/time during the week would be good as class time for you? Each course is 8 week long with 1 hour for one weekly class. Please indicate all available time slots so that it is more likely to match with the instructor's availability. *

If the student is at intermediate or advanced level and has specific learning requests and goals, please describe more details here.

Suggestions or questions from you that are not mentioned by the questions above? Please feel free to leave them here. Thank you!

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