[Re]Connected Seniors is a way for families and friends to stay connected. The project was created by Villa Charities and funded in part by the Government of Canada’s COVID-19 Emergency Community Support Fund, with funds administered by United Way of Greater Toronto.
  
Through the use of technology, iPads will be lent for FREE to a limited number of residents to discover new ways of staying in touch and learning. Villa Charities will be installing free internet in the apartment building common rooms and offering free online workshops and social activities. The project will begin in October 2020 and end March 31, 2021.  

Who Should Apply

Everyone over 60 years of age is welcome to apply. 

Privacy 
  
The answers you provide in this application are private and secure and will only be used by Villa Charities staff to determine who is interested in participating. Some of the non-personal (non-identifying) information you provide may be used to evaluate and write a project report to United Way of Greater Toronto.   

*Please note, all questions with an asterisk need to be completed.

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* 1. Please identify the person who is filling out this application form.

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* 2. If a family member or friend of the applicant is completing this form on behalf of the applicant, please provide your contact information. (We might contact you to ask a follow-up question).

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* 3. What is the primary reason for completing this application on behalf of the applicant?

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* 4. What is the Applicant’s prefix?

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* 5. Please fill out the Applicant's contact information:

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* 6. If the Applicant has an email address, please provide it here:

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* 7. Please indicate where you currently live:

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* 8. To improve their digital skills, would the Applicant participate in free online workshops?

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* 9. Which age range best represents the Applicant?

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* 10. What is the Applicant's annual income?

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* 11. What is the Applicant's country of birth?

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* 12. How does the Applicant identify their Canadian citizenship? (Please check all that apply).

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* 13. What is the Applicant’s preferred language to receive correspondence? (Please select one option).

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* 14. How would the Applicant rate their confidence learning new things? (1 star = low / 5 stars = high).

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* 15. During the current COVID-19 pandemic, does the Applicant feel comfortable: (please check all options that apply).

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* 16. How would the Applicant rate their confidence using technology? (1 star = low / 5 stars = high).

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* 17. Do you currently have internet access in your home?

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* 18. Are any of the following preventing the Applicant from accessing the internet? (Please check all options that apply).

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* 19. Would any of the following opportunities interest the Applicant, if they could borrow an iPad? (Please check all options that apply).

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* 20. Would the Applicant need assistance achieving any of the above opportunities?

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* 21. Would the Applicant like to add any other information or comments regarding the Applicant's needs and/or interest in participating in [Re]Connected Seniors?

The answers you provided in this application form are private and secure and will help [Re]Connected Seniors staff at Villa Charities determine who is interested in participating and what accessibility and learning needs exist.

Next Steps

The [Re]Connected Seniors' project coordinator will review your application and will then call you late September 2020 to follow-up and tell you about how you can access the projects resources.

Stay safe and thank you for your interest in this exciting free project!

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