Thank you for your interest in purchasing a desktop computer and/or internet hotspot.

AEOA has refurbished desktop computers and internet hotspots available for community members in our 12-county service area that are at or below 200% of poverty, or on a qualifying government program.

Computer package: 17" Monitor, keyboard, mouse, Windows 10, LibreOffice, antivirus software, 1-year hardware warranty, and free shipping directly to your home.
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Internet hotspot devices: Unlimited 4G LTE data and 1-year of prepaid internet service.

If you are determined eligible, we will contact you via email from planning@aeoa.org with further instructions on how to complete the computer and/or internet hotspot purchase.

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* 1. Please provide demographic information

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* 2. Number of household members within the following age groups:

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* 3. Estimated total yearly income (include earned and unearned)

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* 4. Primary language spoken

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* 5. The head of household identifies as

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* 6. The head of household identifies as:

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* 7. Employment Status

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* 8. Military Status

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* 9. Disability Status

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* 10. Does your household have any of the following special circumstances?'

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* 11. How has your household been impacted by the COVID-19 pandemic? Please check all that apply.

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* 12. Which are you applying for?

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* 13. If applying for an internet hotspot, please check to see if there is T-Mobile coverage in your your location and check the box below to confirm.

https://www.t-mobile.com/coverage/4g-lte-5g-networks

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* 14. Please check all that apply.

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* 15. AEOA would like to better understand barriers that people in our communities are facing that technology resources could help resolve.

Do any of the following sometimes keep you from making it to work, school, appointments, etc.? Please check all that apply.

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* 16. AEOA would like to better understand why people in our communities would like to have technology resources in their home.

Why are you interested in purchasing a computer and/or the internet? Please check all that apply.

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* 17. AEOA is interested in learning whether cell phones are a technology need in our communities.

Please check all that apply below.

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* 18. In order to purchase a computer through AEOA's PCs for People partnership we require a document showing enrollment in an income-based government assistance program. All proof of eligibility must be dated within the last 6 months (unless it is an annual document, like a tax return), and include the recipient's name printed on the proof. The proof must match the name of the purchaser and the purchaser must be over 18 years of age.

Please indicate below which program(s) from which you currently receive services.

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* 19. I understand I will be required to supply a photo ID and one piece of eligibility paperwork as outlined below.

"To receive technology and services from PCs for People, a potential recipient must be below the 200% poverty level or be currently enrolled in an income-based government assistance program.

For both in-store and online orders, a recipient must have available:
  • A photo ID
  • Eligibility proof document dated within the last 6 months (unless it is an annual document, like a tax return) with the recipient's name printed on the proof.
ATTENTION:
Documents accepted for proof of eligibility require a date and the recipient's name. EBT cards, Medicaid cards outside the current coverage year, and pay stubs are not accepted.

We require a document showing enrollment in an income-based government assistance program. All proof of eligibility must be dated within the last 6 months (unless it is an annual document, like a tax return), and include the recipient's name printed on the proof.

Possible proof of eligibility includes:
  • Adult & Child Mental Health Case Management*
  • Employment Services*
  • Extended Foster Care
  • Food Support (a dated letter showing current eligibility is required)
  • Financial Assistance, such as GA, TANF, etc. (a dated letter showing current eligibility is required)
  • Head Start
  • Low-Income Home Energy Assistance Program (LIHEAP)
  • Medicaid or Medical Assistance (bring a document that says "MA" or "Medical Assistance" on it)
  • The National School Lunch Program's Free or Reduced Lunch Program
  • Section 8, Federal Public Housing Assistance, or Group Residential Housing (GRH)
  • Social Security Disability (SSD)
  • Supplemental Security Income (SSI)*
  • A Statement of benefits from Social Security, General Assistance, Veteran Administration, Retirement/Pension or Unemployment Benefits
  • Pell Grant
  • Persons affected by school closures due to COVID-19 - screen shot or letter of school closure (computers only, not eligible for internet purchase)."

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* 20. I understand if my household does not qualify based on enrollment in one of the above mentioned programs that I may qualify based on income if my household falls at or below 200% of poverty.

Household Size
1 - $25,760
2 - $34,840
3 - $43,920
4 - $53,000
5 - $62,080
6 - $71,160
7 - $80,240
8 - $89,320
*Add $4,480 for each person over 8

"For households that qualify under the net income test (200% poverty level) the following documentation will be acceptable as part of the application process:*
  • The prior year's state, federal, or tribal tax return (W2 forms or pay stubs are not acceptable)
  • A Social Security statement of benefits*
  • A Veteran Administration statement of benefits*
  • A retirement/pension statement of benefits*
  • An Unemployment/Workmen's Compensation statement of benefits*
  • Federal or tribal notice letter of participation in General Assistance
  • A divorce decree, child support court document, or other official document"

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* 21. I understand that I am responsible for paying $20 (per device) toward the purchase on my own and that the purchase will require a credit or debit card.

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* 22. I understand that if I am deemed eligible I will receive information via email on the next steps to purchase my computer and/or internet hotspot.

*Add planning@aeoa.org to your email contacts so our email notification does not go to your spam/junk folder.

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* 23. I guarantee that the above information is correct.

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* 24. How did you hear about AEOA's TechConnect program? Please check all that apply.

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* 25. We would love to connect you with one of AEOA's Adult Education Instructors and/or Employment Counselors who can help you reach your education and/or career goals.

We have strong connections with the employment community and can connect you with employers who are looking for someone with your specific skills and abilities.

Please check all that you may be interested in and we will have someone at AEOA contact you.

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* 26. AEOA would greatly appreciate your input to learn how the device(s) you purchase impact your household. After you receive your device(s), we will follow up with a very short survey.

Which is the best way to reach you?

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