Gulf Middle School Information Sheet

Date Please enter today's date in this box mm/dd/yy Example 07/19/07.

Please identify and describe yourself:

• First Name                 Go By Name:
• Last Name           
• Home Phone:       
• Cell Phone           
• Email                   
• Street Address    
• City                     
• State                   
• ZIP                     

Computer #:    Enter your computer Number  Period:   Subject: Career Ed or Aerospace:

What experience have you had with computers?

Do you have a computer at home to use?  (Enter a Yes or No)

If you have a computer at home what kind? 

Do you have Internet Access at home:  Enter Yes or No

What type of Internet Access do you have? (Place dot in correct radio - enter the one that applies DIAL-UP  DSL  CABLE 

What do you want to get out of this course other than a grade?

Additional Comments

Copyright  2007 Gulf Middle School. All rights reserved.

Revised: August 09, 2008