SCHOOL SITE MENTOR COORDINATOR

Name: ________________________________			Date: ___________

School

	School Name: ________________________
	        Address:  ________________________
			________________________ 
	           Phone:	_______________ ext _____
	               Fax:	________________________
	           Email:	________________________
•	Do you have access to a computer?   What kind (Mac, IBM Compatible, etc) ________________ 
•	Do you have an internet connection (Y/N) ______
If yes, do you use Netscape or Explorer or other ______________
•	What Word Processor do you use? ___________ Version: _________

Home

	        Address:  ________________________
			________________________ 
	           Phone:	________________________
	           Email:	________________________
•	Do you have access to a computer?   What kind (Mac, IBM Compatible, etc) ________________ 
•	Do you have an internet connection (Y/N) ______
If yes, do you use Netscape or Explorer or other ______________
•	What Word Processor do you use? ___________ Version: _________

Requirements

•	PC Or MacIntosh with Internet connection (either telephone dialup or direct connection)
•	Netscape or Explorer browsers (both must be ver 4.0 or greater
•	Adobe Acrobat Reader
•	An email account (SIB will provide free if not otherwise available)

SIB has a limited number of computers that can be loaned to schools for use  by the site coordinator if coordinator does not otherwise have access to one