Digital Inclusion Center at Pitt’s Community Engagement Center in the Hill District Sign-Up
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First Name
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Last Name
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Street Address
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City
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State
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Zip Code
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Email
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Phone Number
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Gender Identity
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Male
Female
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Other:
Ethnicity
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Native American or American Indian
Asian / Pacific Islander
Black or African American
White
Hispanic or Latino
Other:
Do any of the following apply to you? Check those that do.
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I am recently unemployed/out-of-work
I do not have access to a computing device other than a smartphone (desktop, laptop, Chromebook, tablet, etc.)
I do not have consistent internet access
None of the above apply
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My current income is:
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between $0 and $50,000 per year
above $50,000 per year
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What age group do you best fit into?
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K thru 2nd grade
3rd thru 5th grade
6th thru 8th grade
High school student
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Senior citizen
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