1. My name is ...

2. Please rate your computer skills or proficiency Mad dog hacker very comfortable moderately proficient use only when I have to what is a computer?

3. Do you have access to a personal computer at home? Yes No

4. What type of computer do you own?  IBM-Compatible (Gateway, Compaq, Dell, etc.) Macintosh Other Both IBM & Mac N/A

5. What is your computer's processing speed? 700 Mhz or greater Between 300 and 700 Mhz Between 100 and 300 Mhz Less than 100 Mhz I don't know N/A

6. Do you have access to the Internet?  Yes No N/A

7. What is your modem speed? Cable or DSL 56 kbps Less than 56 kpbs I don't know N/A

8. Check all of the following storage devices that you own?

• Zip drive 100 or Zip 250  

• Super disk drive

• Jaz drive

• CD-ROM DVD-ROM

• CD-RW (Read/Write) drive

     9.    Check all of the following software that you own?

• Microsoft Word 97 or MS Word 2000

• MS PowerPoint 97 or MS PowerPoint 2000  

• Microsoft Office 97 (Word, Excel, Access, etc.) or MS Office 2000

• Microsoft Works

• Microsoft FrontPage or other web-building program

    10.  My favorite school subjects usually are ...

    11.  My least favorite school subjects usually are ...

    12.  I plan to participate in the following extracurricular activities (school or other) during the 2001-2002 school year:

     A.  

     B.  

     C.  

     D.  

    13. Check all of the following math courses that you have already taken (include this summer if it applies)

• Algebra 1

• Geometry

• Algebra 2

• Math Analysis

    14.  I am unique because ...

    15.  When I can tear myself away from my studies, my three favorite things to do are ...

     A.  

     B.  

     C.  

    16.  If I were stranded on a desert island, these are the three CD's I could not live without :

   CD #1: 

   CD #2: 

   CD #3: 

    17.  A topic I would like to know more about is ... 

    18. Before I graduate from high school I would like to learn how to ...

    19.  If I could have dinner with anyone in the world, it would be ...

    20.  My home or personal e-mail address is...

Please print after you have completely filled in all of the above fields.