BRL: Braille through Remote Learning

Courses
  • Introduction to Braille Course
  • Transcribers Course
  • Specialized Codes Course
    		•
    BRL: Braille through Remote Learning

    BRL: Braille Through Remote Learning
    Specialized Codes Course
    Registration Form

    STUDENTS REGISTERED BEFORE 1 OCTOBER 1999 -- READ THIS BEFORE REGISTERING
    This form lets you register for the SPECIALIZED CODES course.

    Please use other forms to register for other courses:

    Introduction to Braille Course

    Braille Transcribers Course

    For more information, contact Bob Gotwals (rgotwals@shodor.org).

    NOTE: it is especially important that you fill in the boxes with "who you are" types of information. This includes your name, you email address correctly entered, your Web page address (if you have one), your title and institution name (if you are an educator), and address.

    Please fill out the form and press "Register" when you are finished.

    Enter contact information:

    Name:

    Phone Number:

    Fax Number:

    E-Mail:

    Address:

    Are you a:


    Institution Name:

    NOTE: the following questions refer specifically to teachers and educators:

    Position:

    Type of Institution:


    Highest Degree:
    BS/BA
    MS/MA/MSEd
    PhD/EdD

    Years of Teaching Experience:
    1-5
    6-10
    11-15
    More than I care to count (>16)

    Describe your PRIMARY academic responsibilities:
    Teaching
    Research
    Administration
    Other (describe below)
    Add comments here about your academic responsibilities:

    The following questions are directed at all participants:

    Years of Technology Use Experience:
    1-5
    6-10
    11-15
    More than 16

    Describe the hardware that you will use for this course (note: select the one that you will use most regularly):
    Macintosh
    IBM/Windows
    UNIX Workstation
    Other (describe below)

    Add comments here about your hardware:

    Describe your Web connection (note: select the one that you will use most regularly):
    Dialup SLIP/PPP
    America Online
    ISDN
    T1/T3
    Other (describe below)

    Add comments here about your connection:

    Describe your previous brailling background (coursework, workshops, experiences, etc.

    Other comments:

    NOTE! SUBMITTING THIS FORM IS YOUR AGREEMENT FOR YOUR EMAIL TO BE ADDED TO OUR EMAIL M AILING LIST! We do not SELL this list. We use this list to communicate with you about mat ters related to the BRL program. If you do not want your email address on this list, do n ot submit this form!
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