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Last Name: |
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First Name: |
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Street address: |
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Secondary Street address: |
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City: |
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State: |
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Zip: |
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Position: |
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Length of time in current position: |
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Length of time working in a one-to-one student-to-technology device environment: |
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I (plan/do not plan) to attend the luncheon for one-to-one program directors/leaders at the CoSN conference. |
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plan do not plan |
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Why did you start your one-to-one program? |
| Unimportant | Moderately Important | Very Important | Not Applicable | |
| Enhance student learning and achievement | ||||
| Engage students in learning (resulting in decreased dropout rates, tardiness, absenteeism, discipline referrals) | ||||
| Build student skills to participate and lead in the 21st Century workforce | ||||
| Provide greater access to equal educational opportunities through universal access to technology | ||||
| Foster innovation and sharing of best practices through systematic professional development for teachers, administrators and staff | ||||
| Support innovative pedagogical changes in participating schools | ||||
| Empower parents and caregivers with the tools to become more involved in their child’s education | ||||
| Meet NCLB standards | ||||
| Close the digital divide | ||||
| Increase or maintain student enrollment | ||||
| Improve economic development in the region or state | ||||
| Other |
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If other, please specify: |
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About your one-to-one program |
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Date (month, year) planning started |
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Month |
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Year |
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Date (month, year) special professional development started |
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Month |
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Year |
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Date (month, year) devices were provided to students |
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Month |
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Year |
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Your one-to-one program covers the following |
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Number of school districts in your one-to-one program |
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Number of school buildings in your one-to-one program |
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Number of students in your one-to-one program |
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Grade levels of students in your one-to-one program (select all that apply) |
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pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 |
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Type(s) of student devices (select all that apply) |
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handhelds laptops notebook computers desktops thin clients other |
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If other, please specify: |
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Brand(s) of student devices (select all that apply) |
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Apple Dell Gateway HP IBM Toshiba Palm other |
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If other, please specify: |
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Number of teachers in your one-to-one program |
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Type(s) of teacher devices (select all that apply) |
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handhelds laptops notebook computers desktops thin clients other |
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If other, please specify: |
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Brand(s) of teacher devices (select all that apply) |
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Apple Dell Gateway HP IBM Toshiba Palm other |
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If other, please specify: |
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Who owns the equipment? (select all that apply) |
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the state the district the school students/teachers participating in the program |
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How are the 1:1 devices paid for? (select all that apply) |
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federal funds state funds local funds private gifts and donations foundation grants student families being asked to help purchase |
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Results to date |
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Do you have any research results on the impact or costs of your 1:1 program? |
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Yes No |
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Please indicate a URL if the results have been published or posted online. |
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Special areas of interest to discuss at the luncheon |
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Please rank order each issue area at your school/district/state as special areas of interest or need regarding one-to-one teaching and learning programs that you would like to discuss at the luncheon. The number 1 (one) is the highest rank issue area, followed by two, three, four and five (the lowest). |
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Content filtering |
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Content resources |
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Database management |
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External Communications/Public relations |
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Financial sustainability |
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Hardware and network maintenance |
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Insurance to cover devices |
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Internal Communications |
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Leadership/administrator support |
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Leadership turnover |
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Learning assessment |
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Network security |
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Parental involvement and support |
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Planning |
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Public support (government/legislative) |
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Research and evaluation (measuring program impact) |
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Student acceptable use policies |
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Take home policies |
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Teacher professional development |
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Teacher technology skills |
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Teacher and staff motivation |
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Technology staff support |
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Total Cost of Ownership studies |
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Using Total Cost of Ownership information for planning decisions |
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Warranties (hardware) |
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What other issues you would like to discuss at the luncheon on March 6, 2006? |
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1st |
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2nd |
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3rd |
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Permission to use your information |
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Please indicate if the information you are submitting may be shared in other formats, such as a published monograph 1:1 teaching and learning programs. CoSN/FTL has my permission to use the above information for reference in reports and other publications. |
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Yes No |
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Please also type your initials in the space below if you grant permission to use the above information for reference in reports and other publications. |