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1. Name of High School
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2. Outside of School - I have access to a computer
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3. Outside of School - I have access to the Internet
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4. Outside of School - I use technology for games/entertainment
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5. Outside of School - I use technology for homework
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6. Outside of School - I use the Internet for research
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7. Outside of School - I use the Internet for communication (i.e. e-mail, IM, etc.)
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8. Outside of School - I use a computer for maintaining a social networking page (i.e. Facebook, MySpace, Twitter, etc.)
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9. Outside of School - Each day I use technology:
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10. Outside of School - Other technologies I use (check all that apply):
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11. At Home - I access the Internet for checking grades
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12. In School - I have access to a computer
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13. In School - I have access to the Internet
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14. In School - I use the computers for educational programs:
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15. In School - I use the computers for projects:
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16. In School - I access the Internet for communications (i.e. e-mail, blogging, Web 2.0)
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17. In School - I access the Internet for research
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18. In School - Each week I use a computer:
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19. I know how to use a Video Camera
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20. I know how to use a CD/DVD Burner
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21. I know how to use a Digital Camera
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22. I know how to use a PDA/Palm Pilot
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23. I know how to use a Printer
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24. I know how to use a Scanner
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25. I know how to use MP3/MP4 Players
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26. I know how to use an Interactive White Board
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27. I know how to use Portable Storage Devices (i.e. Flash drive, Jump drive)
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28. I know how to use the following kind of application by myself: Word Processing (i.e. Word, Word Perfect)
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29. I know how to use the following kind of application by myself: Spreadsheet (i.e. Excel)
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30. I know how to use the following kind of application by myself: Presentation (i.e. PowerPoint, Hyper Studio)
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31. I know how to use the following kind of application by myself: Database (i.e. Access)
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32. I know how to use the following kind of application by myself: Publishing (i.e. Publisher, PagePlus, QuarkXpress, PageMaker)
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33. I know how to use the following kind of application by myself: Library Databases (i.e. Alexandria, Athena, Dynix, Follett)
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34. I know how to use the following kind of application by myself: Photo Editing Software (i.e. Picasa, Photoshop, etc.)
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35. I know how to use the following kind of application by myself: Drill and Practice software (i.e. Type to Learn 3, Mavis Beacon Teaches Typing, etc.)
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36. I know how to use the following kind of application by myself: Drawing/Paint Software (i.e. Corel Painter, ArtRange, Artweaver, Studio Artist, etc.)
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37. I know how to use the following kind of application by myself: Graphic Organizers (i.e. Inspiration)
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38. I know how to use the following kind of application by myself: Web Design (i.e. Dreamweaver, Expression Web, Front Page, Coffee Cup, etc.)
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39. I know how to use the following kind of application by myself: Graphic Design/Animation (i.e. Adobe Illustrator, Fireworks, Flash, Graphic Design)
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