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Tech Goes Home Tennessee (TGH TN) strives to reduce the digital divide for Tennessee Department of Human Services (TDHS) licensed early child care educators through the provision of trainings, coaching, and help desk assistance. The TGH TN program offers TDHS licensed early child care educators the ability to improve their quality of life as new members of an online community.

TGH TN Minimum Participation Requirements 
  1. All participating educators must be employed in a TDHS licensed child care agency.
  2. All participating educators must attend and complete 15 hours of approved computer training classes conducted by TGH TN to qualify for technology incentives for the child care agency.
  3. All participating educators must agree to keep any TGH TN technology incentives at the child care agency.
  4. Completion of this application does not guarantee acceptance into a TGH TN training course or guarantee qualification for technology incentives.
  5. Technology incentives are based on need and agency capacity.

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* 1. Today's Date

Date

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* 2. Applicant's Contact Information

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* 3. Child Care Agency Contact Information

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* 4. Type of Child Care Agency

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* 5. Primary Language

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* 6. Employment Status

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* 7. Age of children you work with

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* 8. Are there devices at the agency for you to use?

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* 9. Number of working computers in the agency

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* 10. What do you use the devices for? (Please choose all that apply)

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* 11. Do you have internet at the agency?

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* 12. If you have internet at the agency, what type? (please choose one)

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* 13. Which internet service provider is used in your agency? (please choose one)

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Device Eligibility

Device Eligibility
I have read and agree to all the requirements. I understand that any incentive that may be received through the TGH TN initiative shall remain with the TDHS Licensed agency listed on this application. Should I leave the agency prior to completion of all requirements, I understand that I will need to notify TGH TN of my departure and that I may re-enroll after completing a new application. I acknowledge that I have read and agree to all TGH TN requirements. 

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* 14. By selecting "I agree," you consent that you have read and agree to all the requirements. you understand that any incentive that may be received through the TGH TN initiative shall remain with the TDHS Licensed agency listed on this application. Should you leave the agency prior to completion of all requirements, you understand that I will need to notify TGH TN of my departure and that I may re-enroll after completing a new application. You acknowledge that I have read and agree to all TGH TN requirements.

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* 15. Applicant Signature (Typing your name serves as a signature)

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* 16. By selecting "I agree," you consent that as the Director/Owner of the agency listed in this application, you agree and understand that if the agency received incentive device(s) through TGH TN, the staff of the agency shall have access to the device(s) for the purposes of online courses, online training, office management, curriculum development and other professional development needs. You further agree that such device(s) shall be used only by the child care agency staff not by others including children.

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* 17. Director/Owner Signature (Typing your name serves as a signature)

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* 18. Agency Email Address

Mailing Address: 1100 Market St., Suite 500, Chattanooga, TN 37402
This project is funded through a grant with the TN Department of Human Services and Signal Centers, Inc.
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