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AUTM Internet & Technology Needs Assessment

COVID-19 has negatively impacted our community and disproportionately affected those in low-income, underserved, and underrepresented communities, specifically Black and Latino communities.

Please complete this assessment so we can connect those with the resources that they need.

First Name

Last Name

Email

City

Zip Code

Do you represent an organization or an individual?

Organization Name

Do you work with students or adults?

What are the needs of your organization?

We need assistance with internet access

We need assistance with technology devices

We need assistance with training and development

How any people need internet access?

How many people need a technology device?

What type(s) of device(s) do they need?

Laptop

Desktop

Mobile Hotspot

iPad

Emplyment Status

Are there any children in your home under 18 years old?

Yes

No

If yes, how many?

Are there any college students in your home due to COVID-19?

Yes

No

If yes, how many?

Do you have access to high speed internet in your residence?

Yes

No

Do you own a mobile hotspot or smart phone for internet access?

Yes

No

Do you own a laptop or desktop computer?

Yes

No

Please provide any additional details on your needs below:

Thanks for contacting AUTM! Someone from our team will be in contact with you within 3-5 business days.

6633 E. Highway 290, Ste. 212, Austin, TX 78723-1111

Ph: +1 (512) 730-1085

Austin Urban Technology Movement (AUTMHQ) is a 501(c)(3) non-profit FOR the community.

Let's Create A SafeSpace with AUTMHQ

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