Digital Buddies - Request for Help
Please complete the below questions with as much as details as possible to help us match you to the best buddy that we can. If you aren't able to answer all the questions, don't worry, we will still be able to match you. This information will only be shared with your buddy and the Salford Foundation Digital Buddies coordinators.
Name *
Date of Birth *
MM
/
DD
/
YYYY
Contact Number *
Email address (if you have one)
Which call type would you require?
Clear selection
What tablet/phone/laptop do you have?
What operating system does it have?
Clear selection
What date would you prefer to speak to your buddy?
MM
/
DD
/
YYYY
What time would you prefer to speak to your buddy?
Time
:
What would you like to do with your device, but don't know how to ? e.g. video calls, facebook, whatsapp
Any other information? (This can include additional needs or circumstances)
Who is completing this form? (Name, contact number and relationship to beneficiary) *
Submit
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