Registration Registration Form & Assessment Form Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastDate of BirthAddress, City, State & Zip *Home Phone *Cell Phone *Level of Education *High School DiplomaAssociates DegreeBachelors DegreeMasters DegreePh.D/DoctorateCertificatesEmail *What type of industry do you or did you work in (if retired)? *On a scale of 1 to 10; how comfortable are you with technology? Selected Value: 0 What type of industry or career are you interested in training for? *Which of our courses would you be interested in? (Select as many as you'd like!) *Smartphone BasicsComputer BasicsInternet Basics** There is no charge for registration for classes. Registration & Assessment Form must be completed before registering. If you have questions, please call us at 610-639-6737. ** What technology devices do you own or use most frequently? *PCLaptopSmartphoneTabletChoose all that apply.What types of things do you do on your devices? *E-mail/ChatOffice Administration WorkGamingSocial MediaWritingReadingChoose all that apply.Do you own a smartphone? (pick one)YesNoIf you have a Smartphone, please answer the following questions. If you do not own a Smartphone, skip to question # .What apps do you use on your Smartphone?ex: Camera, Facebook, Calendar, etc.How often do you use a Smartphone? *EverydayFew times a weekRarelyNeverDo you have voicemail set up on your Smartphone?YesNoDo you have a contact list set up on your Smartphone?YesNoCan you take photos/manage photos on your Smartphone? YesNoDo you use GPS on your Smartphone?YesNoWho is your current cell phone provider and plan?ex: Verizon, AT&T, T-Mobile, US Cellular, etc.Do you understand your cell phone plan?YesNoDo you use video conferencing?YesNoex: Skype, FaceTime, Facebook Live, ect.Do you know how to get to your settings on your Smartphone?YesNoWhat are three things you'd like to learn how to do on your Smartphone?Do you own a PC or Laptop? (pick one)YesNoHow often do you use a PC, or Laptop? *EverydayFew times a weekRarelyNeverWhat are three things you'd like to learn how to do on your PC?Are you comfortable with technology terms & symbols? YesNoDo you have any mobility problems that interfere with your use of computers?YesNoHave you ever done technology training before?YesNoNameRegister Now!