Los Angeles County Regional Occupational Program
ROPOnline Student Information System

Skills Assessment & Technology Readiness Survey  (One survey per user)

Instructions: Each Technician, Counselor and Teacher who will be using the ROPOnline system within the next few months should complete this form at this time. Complete as much as you can accurately,leaving blank any questions you can not answer. These items will be completed at a later time. After completing this form, please click the submit button at the bottom of this page.

Name		Type of Position	Technician Counselor Teacher District Administrator LA County Staff Not Selected
Area Code and Phone		Date
District	None Selected Alhambra Arcadia Bellflower Beverly Hills Burbank Culver City Downey Duarte El Monte Glendale La Canada Las Virgenes Lynwood Monrovia Montebello Paramount Pasadena Santa Monica/Malibu San Marino South Pasadena Temple City	Site
Room #		Building

Computer/Web Skills Assessment

The following questions pertain to your skill level using a computer whether at home or at work. Please answer the questions considering your experience only, not whether it pertains to work or home use.

E-mail. Do you have an e-mail account? If yes, how frequently do you access your e-mail? Please enter your e-mail address.

Yes/No    Yes No Not Selected    If yes,    select frequency Daily 2-3 X Week Weekly 2-3 X Month Monthly Hardly Ever     E-mail address:

Web Browser. Do you have access to the Web? If you access the web, indicate what browser you use. Please be sure to include the version of the Browser. (To find the version number, open the browser, click on the Help menu and access the about dialog.)

Yes/No    Yes No Not Selected    If yes,   select type AOL Earthlink MS Internet Explorer Netscape Navigator Mozilla Don't know

Search Engines. Do you use a search engines such as Yahoo, Google, or Excite? If Yes, How frequently do you use it?

Yes/No    Yes No Not Selected    If yes,   select frequency Daily 2-3 X Week Weekly 2-3 X Month Monthly Hardly Ever

Have you used Web forms? Some examples of using online web forms are purchasing airline tickets or other items on the web or using online banking. If you have experience with these types of transactions, please indicate the frequency.

Yes/No    Yes No Not Selected    If yes,   select frequency Daily 2-3 X Week Weekly 2-3 X Month Monthly Hardly Ever

Do you have experience with downloading files (pictures, software upgrades, etc.)?

Yes/No   Yes No Not Selected

Have you received any formal training on how to use the Internet?

Yes/No   Yes No Not Selected

Technology Readiness

The following questions pertain to the computer technology you will use to access the ROPOnline system. If you do not know the answer to a question, please leave it blank. It will be completed at a later time.

Location (If same as user, leave blank)
User(s)		Make / Model of computer
Processor Speed		RAM
Operating System	None Selected Win 95 Win 98 Win 98 SE Win NT Win 2000 Win XP MAC < OS 9 Mac OS 9 Mac OS 10 Don't Know Linux Other	Monitor Size	klnch
Internet	Is this computer connected to the Internet? Yes/No   Yes No Not Selected If yes,    select connection District LAN Dial-Up Line DSL Cable Modem Other Don't Know   and   Select Speed 56 k 128 k 348 k 10 Mbit 100 Mbit Other Don't Know Do you access the Internet through a Proxy Server? Yes/No   Not Selected Yes No Don't Know Computer Network Configuration? Via:    Not Selected DHCP Server Static Address Don't Know   If Static, IP Address:  Subnet Mask:   Default Gateway:
Printer (Make and Model)		Is this printer networked	Not Selected Yes No Don't Know