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Program Request for Assistance or Training
Enter in contact information (press "Tab" to move between the form fields)
Select topics desired and hardware/software in use
Fill in training day/date information
Enter in specific requests
Click "Submit" to send the form or "Reset" to start over
Contact Information
Name:
Title:
Program name::
ABLE-funded?
Yes
No
Address:
Phone number:
City:
State and ZIP code:
FAX number::
Email:
General training/assistance topics desired:
(check all that apply)
General System
Internet
Hardware
Software
Computer Purchase
General Information
General Information
General Information
System Upgrade
Email
Upgrading/Installation
Program Upgrade
System maintenance
World Wide Web
General problems
Operating systems
Technology application
Web page design
Network setup
Office suites
Communications
Listserv's/BBS's
Troubleshooting
Desktop publishing
Hardware and software currently in use
Hardware
Software
PC-Compatible
DOS
Macintosh/Clones
Windows 3.X, 95, NT
Printer(s) - laser, inkjet
Macintosh or OS/2
Printer(s) - dot matrix
Word processing program(s)
Internet connection - email/web access
Spreadsheet program(s)
Internet connection - email only
Desktop publishing program(s)
Requested date - please list three convenient dates in order of preference (
please allow at least three weeks for scheduling purposes
a.m.
p.m.
either
a.m.
p.m.
either
a.m.
p.m.
either
Primarily interested in:
4 hour session
8 hour session
either
Approximate number of attendees:
Is a
workshop room or
computer lab available?
Specific areas of interest:
this form the way it is or
the information and start over
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