SENIOR SURF REGISTRATION FORM
MODULE 2: INTRODUCTION TO THE INTERNET
Street Address Line 2
State / Province
Postal / Zip Code
What would you consider to be your current level of skill?
Beginner – little to no knowledge of computers
Intermediate – familiar with the computer and/or have taken classes before.
Advanced – very familiar with computers.
Which of the following devices do you have access to? Please select ALL that apply.
Android cellphone or tablet
iPhone or iPad
Should be Empty:
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