Sourcewise Digital Connections Program Interest Form
Thank you for your interest in the Digital Connections (DC) Program. Sourcewise is excited to offer the program to help bridge the digital divide gap and address social isolation. The program is free to eligible seniors and caregivers to seniors ages 60+ and is provided in partnership with the California Department of Aging. Once eligibility is confirmed, program participants will receive an iPad to use for a limited time, coupled with training and general technical support. Devices are limited and available while supplies last. If you are interested in the program, please fill out this brief interest survey below. If you require translation assistance or would rather fill out the survey over the phone with the help of a coordinator, please call (669) 699-2245. If you qualify, someone from our team will contact you to complete a required enrollment form and program survey before receiving your tablet. This program is also open to caregivers as well but will prioritize caregivers that fit the other eligibility requirements. If you’re a caregiver and would like a tablet for someone you care for (older adult 60+ years), we recommend that you do the survey process together to confirm they consent to the program enrollment and requirements. You may contact our office at any time if you have questions or comments. You can email us at firstname.lastname@example.org or call at (669) 699-2245.