Digital Literacy Form

JumpStart Digital Literacy

Complete the fields below to sign up for the Digital Literacy course:
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Have you ever attended an in-person digital literacy session before?*

YesNo
Do you have a laptop ?*

YesNo
Do you have a working webcam on your laptop?*

YesNo
Please select the date of the Digital Literacy Session that best works for you:*

Tuesdays 5-7:30pm onlineThursdays 5-7:30pm onlineSaturdays 10am-2pm onlineTuesdays 10am - 2pm Hartford Memorial Church 18700 James Couzens DetroitTuesdays 5pm - 8pm Hartford Memorial Church 18700 James Couzens DetroitThursdays 10am - 2pm Hartford Memorial Church 18700 James Couzens DetroitThursdays 5pm - 8pm Hartford Memorial Church 18700 James Couzens Detroit
Do you have internet access?*

YesNo
On a scale from 1 to 5, how comfortable are you with using a laptop? (5 being the best or highest, 1 being the least comfortable) ?
Have you ever felt nervous about trying to get a job because of using a computer or technology?*

YesNo
Do you have a job?*

YesNo
I would like to complete the training:*

Online with a laptop or computer (webcam required)In the office
Comments/Questions
Should be Empty:

JumpStart Digital Literacy