Your
Name:
Your School Email:
Your School or School District:
Your School Telephone Number:
Your School Web Address:
First, Tell us about your
classroom
The CLASSROOM we will use is:
Existing in our building
Being designed for new
construction
Being designed-please give us
guidance
What is the LENGTH of the Classroom?
What is the WIDTH of the Classroom?
What is the classroom CEILING
HEIGHT ?
The CEILING TYPE in the classroom
is:
2 ft. X 4 ft. drop in
tiles
2 ft. X 2 ft. drop
in tiles
Sheetrock Ceiling
Ceiling open to building structure
Type of LIGHTING in the classroom:
Fluorescent
Incandescent
Both
How many LIGHT FIXTURES are in the
Classroom?
In your opinion, does the classroom have
ADEQUATE AND UNIFORM lighting?
Yes
No
I'm not sure
Is your classroom CARPETED ?
No
Yes
What COLOR is the classroom painted?
Is your classroom in close proximity to
NOISY AREAS - i.e. the Gym or Band Hall?
No
Yes
What type of walls does the classroom have?
Cinder or Concrete Block
Brick
Sheetrock
Wood Paneling
Concrete
Other
If on an outside wall, HOW MANY
WINDOWS are in the classroom?
Now, a few questions about how you will use the
classroom
Will your room only RECEIVE classes,
or will you TEACH distance learning classes from it?
Both receive and teach classes
Receive classes only
Teach classes only
What is the MAXIMUM NUMBER of
students you wish to accommodate per class?
Will you dedicate a COMPUTER to this
classroom?
Yes, a PC
Yes, a Macintosh
Both a PC and Macintosh
No, not at this time
Do you wish to be able to display the
COMPUTER SCREENS on the large classroom monitors and over the distance
learning network?
Yes, I need a Scan
Convertor
Yes, I already have a
Convertor
No, not at this time
Do you want the ability to RECORD
classes to VCR tape?
Yes, local class
Yes, classes received
Both local and received classes
No, not at this time
Finally, we need to know, or help you plan, how your classroom
will CONNECT to other classrooms
Do you have EXISTING digital
service?
Yes, we have a T1 line for
Internet
Yes, we have ISDN service for
Internet
No, not at this time
If above is yes, WHO PROVIDES your
digital service?
Local private telephone company
Southwestern Bell
GTE
Our Educational Service
Center
Another State Agency
A collaborating University
Other
Does you School District have a WIDE
AREA NETWORK ?
NO
Yes - Via fiber between
schools
Yes - Via T1's between schools
Yes - Via radio/microwave
between schools
I am not sure
How will you ESTABLISH CONNECTION
with other classrooms?
Dedicated - we will bridge through a
MCU
We want the ability to dial-up any
classroom
We are not sure
If possible, would you like to SHARE ONE
T1 between Internet and your video classroom?
Yes, if it doesn't impact Internet
speed
We want dedicated service for video
We are not sure
Best Guess: HOW MANY COMPUTERS do
you have connected to the Internet?
1-50
51-100
101-250
251-500
over 500
We dial into the Internet via modem
Please use this space for additional
comments or to list other requirements you might anticipate for your
classroom.