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Ewing Seniornet

 Ewing SeniorNet Computer Literacy Center
Course Request Form (Printed Version)
Please Print Using CAPITAL LETTERS

Last Name: ________________________________ First Name: _________________________________

Street Address: ________________________________________________________________________

City: __________________________________ State: __________ Zip Code: ______________________

Telephone: __________________________ Email Address: ___________________________________

Is This Your First Course Request?     Yes      No

SeniorNet Member?       Yes      No

What Kind of Computer Do You Have? Windows 95/98/ME     Windows XP/2K
Mac or Apple             Other
Don't Know                None
Mark with an "X" the courses you would like to take (All instruction is on Windows compatible computers)
Introduction to Computers
Introduction to Windows 95/98
Introduction to Windows XP
Word Processing
Database Management
Spreadsheets
 Turbo Tax
Genealogy
America Online
Internet for Non-AOL Users
Internet Explorer/Outlook Express
 Computer Graphics
Digital Photography
Build a Personal Web Page
Burning Data, Music and Images onto a CD
Windows Housekeeping/File Maintenance
Other: ________________________________      ___________________________________
For Office Use Only: Request Date: ____________     Form Dated 7/00