Technology Readiness Survey

Please complete and submit this form if you have concerns with the computer or internet connection you will be using while you are away from the campus.

Name Name First Last
Banner ID
Email
Current Address Current Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Do you have a computer and reliable internet to use blackboard and watch video?

Do you have a computer and reliable internet to use blackboard and watch video? Yes No
What challenge do you face with access to a computer or reliable internet while studying remotely?