To Mrs. Suzanne Harris,

• First Name:
• Last Name:
• Email:
• Age:
• Grade:	9 10 11 12
• GPA:

• What was the latest technology course you've taken?: Business Document Processing Computer Applications Desktop Publishing Website Design Java Programming Computer Programming I Computer Programming II Other
• Are you willing to work on the site at home, using FTP-clients? (i.e. Filezilla): Yes No
• Are you willing to update the site regularly? (Perhaps even every day): Yes No

• Are you familiar with HTML and CSS?:	Yes No
• Are you familiar with JavaScript?:	Yes No
• Are you familiar with XML standards?:	Yes No

• Are you familiar with any other scripting languages? If so, please name them (Use commas to space out):
Example: C++, C#, C, Java, SQL, PL/SQL

• Please list any web pages that you have created in the past (Use commas to space out):
Example: http://www.jackson.k12.ga.us/jcchs, http://www.freewebsite.co.nr/randomuser/index.php

• What program(s) are you affiliated with when web designing? (i.e. Notepad, Dreamweaver; Use commas to space out):
Example: Notepad, Dreamweaver MX 2004, Microsoft Word 2003 (HTML enabler)
• If you have any additional information that may help you out, please list it here:
Example: I am a hard worker and learn quickly. I follow directions well.

Submit Application

Please print this form and turn it in to Mr. Huffman in room A1. Thank you, and good luck.