Video Conferencing
Digital Classroom Form

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Please complete the foilowing form to the best of your abilioty in order that we might serve you as quickly and efficiently as possible. If you are interested in a Shawmut Education Digital Classroom there is also additional background information available for you to view

Shawmut Education Ticket Across Digital Divide

 First Name:  Last Name:
   
 Email:
 
 Country Code  Area Code  Phone Number  Extension  Type
         
 Address
 
 City  State
   
 Zip  Country
   
 
  Organization Name (if applicable) 
 
 
  Do you currently use Skype 
  Yes
  No
 
  If yes please provide Skype name 
 
 
  Are you looking to setup conferencing for your organization (self) only or is there a need for configuration of multiple locations for collaborative meeting, learning and exchange. (An example would be the setup of the Dorchester YMCA to have video conferencing capability enabling other YMCA locations in the state to view it from its desired configuration location. It is quite another to allow the Dorchester YWCA to view the other locations since such locations would also need to be configured. 
  My desired configuration location only
  Multiple locations
 
  If other location(s), please provide address('s) in the following space. 
 
 
  What type of internet connection do you have? 
  Dial-Up
  DSL
  T-1
  T-3
 
  Do you have a local area network, firewall  
  Yes
  No
  I do not know.
 
  Do you have any business critical applications running on the network?  
  Yes
  No
  I do not know
 
  What type of computer platform do you use? 
  PC
  MAC
  Linux
  Multi Platform
 
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