PROJECT LITERACY COMMUNITY TECHNOLOGY CENTER
Please print out registration form and fill it out. Then mail form to Project Literacy.
Name of Course:________________
Course Start Date:_____________
Student's Computer Operating System: 95 98 ME XP
Work or Msg. Phone (if different):____________E-mail________________
Would you like to receive up-coming class schedules via e-mail?_____
Do you have any physical conditions that may require special assistance?
Computer Skills Assessment Questionaire
Equipment: (Circle as many of the item numbers below as apply to you)
1. I am technologically terrified.
2. I have never used a computer.
3. I do not own a computer.
4. I own a computer but am uncomfortable using it.
5. I have used a computer for a while but would like to learn how to do more with it.
6. I am an experienced computer user but would like to develop my skills further.
Previous Courses Taken: (Please check mark next to the applicable items)
Project Literacy Basic Computing I ____ Project Literacy Computing Skills II ____
Project Literacy Internet & E-mail _____ Project Literacy Word or Excel ____
UCC Extension Basic Computing _____ Any other Computing Courses (specify)____
On-line computer training courses _____ _____________________________________
Please state below what you hope to achieve at the completion of this class.