Your First Name:

Your Local Address:

Your E-Mail Address:

Your Tel Number:

Name of Your School (name, city):

Number of Years of Teaching:

Language that you teach (check all that apply): French German Italian Latin Russian Spanish Japanese

Operation System: PC Mac Unix

Your Experience with Computer Network

Novice Intermediate Advanced

What Internet tools or resources do you use?

E-mail Listserv Search Engines Newsgroups Web pages Blackboard Discussion Board Chat Room 

Please briefly describe your experience with Internet technology. Do you have any concerns about using technology for teaching?

Please tell me which area of Internet technology you are most interested in using for your teaching and learning. 

Any other comments.