NAME:

E-MAIL ADDRESS:

Who is your Instructor? Lisa Hunsaker Tami Warnick Jared Smith

Do you have personal access to the Internet? yes no

Do you have web space on the Internet to save a webpage? yes no I'm not sure

Do you have a personal domain name - www.yourname.com? yes no

Would you be interested in free web space and e-mail from Quik Internet throughout this course? Yes No

Rate your knowledge of computers and the Internet. 1 2 3 4 5 (1= What's the Internet? 5= I could teach this class!)

Is there anything in particular that you would like to learn in this class?

Thank you!