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AWDA logo, with letters A (large, italic, upper case, in white that merges into white page background, with ared shadow, over green circle), w (lower case in green with shadow over a large, green circle with Artists with Disabilities Alliance in white italic text at circle top), d (in white lower case, with shadow, over wwwhite triangle, and a (blue lower case in blue with shadowover blue rectangle)

2004 Computer Resources/Skills - AWDA WEB Response Form
(Please list info when possible! Thanks!)

This form is intended for use only by the Artists With Disabilities Alliance -- for communicating
to and with or among members. There is no charge at this time
for membership; all current activities are volunteered by members.

      First name?

       Last Name:

    Telephone:    Fax:

      What is your email address?

Preferred means of contact about AWDA meetings/activities - indicate (check one)

e-mail:   mail:   phone:   fax:


_________________________________________

Please choose one response to each question:

Do you have your own computer at home: YES  NO

Do you need to have your own computer at home: YES  NO

Do you need financial help to get your own computer at home: YES  NO

Do you have computer skills: YES  NO

Do you need to learn computer skills: YES  NO

Do you have Internet/e-mail use skills: YES   NO

Do you need to learn Internet/e-mail use skills: YES  NO

Do you need financial help to learn Computer/Internet/e-mail use skills: YES  NO


Other info or suggestions on the subject of:
Computer Resources/Skills - AWDA WEB use/development

 

Thank you for completing this form.
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