Academy of Diagnostic & Osteopathic Medicine

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Distance Education Readiness

Today's Date

Month

Day

Year

First name*

Last name*

Phone*

Email*

Birthday*

Month

Day

Year

Dear Applicant, Welcome to the self assessment process for distance education at ADOM. This form is designed to help you evaluate your readiness for engaging in distance education programs. Please complete the form honestly and thoroughly. Your responses will assist us in ensuring that you have the necessary skills and resources to succeed in a remote learning environment.

Section 1: Technical Readiness

Do you have regular access to a reliable computer or laptop?*

Yes

Is your computer equipped with a webcam and microphone for virtual interactions?*

Yes

Do you have access to a stable and high-speed internet connection?*

Yes

Section 2: Self-motivation and Time Management

Are you capable of managing your time effectively for independent study and completing assignments on schedule?*

Yes

Can you stay motivated and focusedd without the physical presence of instructors and classmates?*

Yes

Section 3: Learning Preferences

Are you comfortable using platforms for learning, including forums, video lectures, and interactive content*

Yes

Do you prefer and excel in a self directed learning environment*

Yes

Section 4: Communications Skills

Are you comfortable expressing yourself in writing, as a significant portion of communication will be text-based?

Yes

Can you effectively communicate and collaborate with peers and instructors through virtual channels?*

Yes

Signature*

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Acknowledgement: I acknowledge that my responses in this self-assessment form are accurate and truthful. I understand that the institution reserves the right to deny admission if, based on the results of this self-assessment, it is determined that I may face challenges in adapting to the distance education mode of delivery.