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FVRLibraries: ConnectWA Coalition Tablet Request

The Android tablet with keyboard case and pre-paid T-Mobile data plan through June 2025 is provided through a grant from the Washington State Department of Commerce to the Connect Washington Coalition, in which FVRLibraries participates. The submitted information will be shared as part of the reporting for the grant, but will not be otherwise shared outside the library.

Your organization's name *

Your name *

Your email address *

Your phone number *

Client name *

Client age *

Client residential ZIP code *

Client email address (enter "none" if they don't have one yet) *

Client contact phone number for appointment scheduling *

What (functional) WiFi or data-enabled devices does the client already own? (Select all that apply) *

Smart Phone

Tablet

Chromebook

Laptop

Desktop

eReader, like Kindle, Nook, or Kobo

Does the client have home internet service?

If the client needs assistance in a language other than English, which language is preferred?

Client household size

Client gender identity

Client race identity

Fields marked with * are required.