Name:
Email Address:
Phone #
Which class are you enrolled in?
Spring Face-to-Face
Spring On-Line
Classification
Senior
Junior
Sophomore
Graduate
ACT
Special
Other
Grade Level (the one you hope to teach-Please
review the entire list before choosing)
K
1
2
K-2
3
4
5
3-5
K-5
6
7
8
6-8
K-8
9
10
11
12
9-12
6-12
K-12
Subject Area (Middle and High
School)
Computer
Basics and Operating Systems
CB1 - I am able to use the mouse to point, to
click and to drag.
Yes
No
CB2 - I am able to view the contents of a
window by using scroll bars.
Yes
No
CB3 - I am able to move, resize, close and
open a window.
Yes
No
CB4 - I am able to modify the computer's
desktop.
Yes
No
CB5 - I am able to name computer input devices
and their functions.
Yes
No
CB6 - I am able to copy information to and
from a flash/USB drive.
Yes
No
CB7 - I am able to organize files and folders
on the hard disk drive.
Yes
No
CB8 - I am able to use menus and/or ribbons
within an application.
Yes
No
CB9 - I know how to name, save, move, rename
and delete a file.
Yes
No
CB10 - I know how to attach a file to an email
message.
Yes
No
Telecommunications
T1 - I know how to compose, send and receive
e-mail.
Yes
No
T2 - I know how to send attachments with an
email message.
Yes
No
T3 - I know how to use the basic functions of
a web browser.
Yes
No
T4 - I am able to access web pages by
selecting links within a web site.
Yes
No
T5 - I know how to mark a web page to access
it later.
Yes
No
T6 - I know how to use a Web 2.0 application
such as Delicious to share websites with
others.
Yes
No
T7 - I am able to locate information using a
web based directory.
Yes
No
T8 - I am able to use the advanced features of
more than one search engine.
Yes
No
T9 - I know how to define the term
network.
Yes
No
T10 - I am able to define the term
Internet.
Yes
No
T11 - I am able to define the term
Intranet.
Yes
No
T12 - I am able to interpret and apply
educational regulations related to the use of the
Internet.
Yes
No
T13 - I have used the Visual Thesaurus
online.
Yes
No
T14 - I am familiar with
Thinkfinity.
Yes
No
Word
Processing
WP1 - I am able to enter and delete text in a
word processing application.
Yes
No
WP2- I am able to alter the font and font size
of text.
Yes
No
WP3 - I am able to modify the style of text
(e.g., bold, italic and underline).
Yes
No
WP4 - I am able to edit text using the Cut,
Copy and Paste functions.
Yes
No
WP5 - I am able to use the Find and Replace
feature.
Yes
No
WP6 - I am able to change the alignment of
text.
Yes
No
WP7 - I know how to use columns in a
document.
Yes
No
WP8 - I know how to use the format painter in
a document.
Yes
No
WP9 - I know how to add a graphic to a word
processing document.
Yes
No
WP10 - I know how to add bullets or numbers to
a list.
Yes
No
WP11 - I am able to insert a page break in a
document.
Yes
No
WP12 - I am able to add a header and footer in
a document.
Yes
No
WP13 - I am able to add page numbers to a
document.
Yes
No
WP14 - I know how to set tab leaders in a
document.
Yes
No
WP15 - I can place borders around the entire
page, or around specific sections of text within a
document.
Yes
No
Graphics
G1 - I am able to use graphics tools to create
simple graphic images.
Yes
No
G2 - I am able to add color to lines and
shapes.
Yes
No
G3 - I know how to group several graphic
elements to form an image.
Yes
No
G4 - I know how to create graphic titles using
Word Art.
Yes
No
G5 - I know how to change the colors and
effects in Word Art.
Yes
No
G6 - I am able to use a digital
camera.
Yes
No
G7 - I am able to use a flatbed
scanner.
Yes
No
G8 - I know how to compress the size of a
digital image.
Yes
No
G9 - I can insert digital images from a camera
or scanner into a document.
Yes
No
G10 - I can locate and retrieve graphic images
from the Internet.
Yes
No
G11 - I know how to verify that I have
permission to download and use an image I have found on
the Internet.
Yes
No
G12 - I know how to modify images using a
graphic software application.
Yes
No
G13 - I am able to create watermarks/washouts
in documents.
Yes
No
G14 - I know the difference between .bmp,
.gif, and .jpg graphic file types.
Yes
No
Multimedia
MM1 - I am able to create a slide/card.
Yes
No
MM2 - I am able to add graphics to a slide or
card.
Yes
No
MM3 - I am able to use graphics tools to
create shapes on a slide or card.
Yes
No
MM4 - I am able to add sound to a slide or
card.
Yes
No
MM5 - I am able to change the background color
of a slide or card.
Yes
No
MM6 - I am able to animate images or text on a
slide or card.
Yes
No
MM7 - I am able to add a video file to a slide
or card.
Yes
No
MM8 - I am able to reorder
slides/cards.
Yes
No
MM9 - I am able to create hot
spots/links/buttons on a slide or card.
Yes
No
MM10 - I am able to save a presentation as a
self-running show.
Yes
No
MM11 - I am able to modify a video
segment.
Yes
No
MM12 - I am able to add an audio track to a
video segment.
Yes
No
Spreadsheets
SS1 - I am able to identify columns and
rows.
Yes
No
SS2 - I am able to identify a cell by its
column letter and row number.
Yes
No
SS3 - I am able to enter information into a
cell.
Yes
No
SS4 - I am able to enter a formula containing
a sum function.
Yes
No
SS5 - I am able to select a range of
cells.
Yes
No
SS6 - I am able to create a chart from a set
of data.
Yes
No
SS7 - I am able to add titles to a chart.
Yes
No
SS8 - I am able to use headers and footers
within a spreadsheet report.
Yes
No
SS9 - I know how to format numerical
information in cells. (currency, decimals, dates)
Yes
No
SS10 - I know how to modify the format of rows
and columns. (width, height, color, borders)
Yes
No
SS11 - I am able to set up a grade book to
calculate student grades electronically.
Yes
No
SS12 - I know how to write a formula to
convert a numeric value to a letter grade.
Yes
No
Technology
Integration
TI1 - I am able to use
productivity/information tools to formulate curriculum
decisions.
Yes
No
TI2 - I know how to locate appropriate lesson
plans for specific subjects and grade
levels.
Yes
No
TI3 - I am able to prepare lesson plans which
include the use of technology for accessing information.
Yes
No
TI4 - I am able to prepare lesson plans which
include the use of technology for processing information.
Yes
No
TI5 - I am able to prepare lesson plans which
include the use of technology for presenting
information.
Yes
No
TI6 - I am able to use technology effectively
in various educational settings.
Yes
No
TI7 - I am able to review and evaluate
educational software for use in my instructional program.
Yes
No
TI8 - I am able to review and evaluate Web
sites for use in my instructional program.
Yes
No
TI9 - I am able to develop a system for
scheduling students to use computers in the classroom.
Yes
No
TI10 - I am able to design worksheets to use
in my classroom.
Yes
No
TI11 - I am able to create puzzles and tests
using online resources.
Yes
No
TI12 - I understand the purpose of an AUP.
Yes
No
TI13 - I know how to explain an Acceptable Use
Policy to students.
Yes
No
Other
What I would most like to be able to do as a
result of this course is: