Wufoo
Social Media & Technology Training Survey
SPOTS LIMITED: Get on the waiting list for spots that become available in our classroom. Spots may already be available so get this completed and we will update you shortly.
Class fees are on a sliding scale basis and we have a number of spots that are free thanks to a scholarship donated by the local non-profit.
Your Name
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First
Last
Your Email Address
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Phone Number if you don't have email
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What kind of training are you interested in?
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Basic Computer (Word, Excel, Internet etc)
Building a web business
Social Media & Marketing
Teach me everything
Other (describe below)
None
Describe other training here:
Which kind of training would suit you best?
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Virtual (from my own computer)
On-site (at a location in Oakland)
Combination of both
When are you available to take classes?
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Week days
Week nights
Weekends
Custom schedule
How many hours per week can you dedicate to attending classes?
2-5 hours
5-10 hours
10-15 hours
15-20 hours
20-30 hours
30-40 hours
Do you have transportation?
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Yes I can get myself to all classes
No I cannot get to the training location
I can get rides on occasion
I can provide rides to classmates
Are you interested in being a Teacher's assistant?
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Yes, I would like to ONLY volunteer
Yes, as long as I can be a student too
No, I just want to learn for now
What city/town do you live in?
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What day would you like to register/start classes?
MM
/
DD
/
YYYY
Do you have a laptop to bring to class?
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Please select one
Yes
No
I can get one
Do you have any of these internet services at your house?
Verizon Fios
Optimum Online
Infinity
Time Warner
Choose which payment plan you are most interested in:
*
choose one
$0 plus 15 hours a week of internship
$300 plus 12 hours a week of internship
$600 plus 9 hours a week of internship
$1200 plus 6 hours a week of internship
$1800 plus 3 hours a week of internhship
$2400 payment in full with no internship time
Do Not Fill This Out