Connect with Tech – Applicant

Connect with Tech – Applicant

two people facing each other with a triangle sharing symbol in the middle of themDo you know someone who needs a reused tablet or smartphone to connect with familiar faces, family or friends at this time?

We are currently collecting donations. Fill out the form below to be contacted when a device is available.


Before recommending someone for receiving equipment, please consider the following:

  • Have you asked the person if they want a device and if they would use it?
  • Does this person have internet access in their home? If not, how will you assist them in getting low-cost internet service?

Gather the following information:

  • Person’s name, age, and if possible, address. If you cannot provide their address, you must provide their county and indicate that we are to use your address for contact purposes, which will mean that the device will be shipped to you.
  • Reason(s) the person needs the device.

Please complete this application for yourself or someone you support.