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DD Access to Technology Application
Please answer to the best of your ability - if you need assistance, email
DDTechMaine@gmail.com
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Your full name (first and last):
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Your answer
Address: Number and street name
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Your answer
Address: Town/City
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Your answer
Address: Zip Code
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Your answer
Phone number and/or email to contact:
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Your answer
I meet the eligibility criteria.
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No
I don't know
Other:
If I am selected, I agree to provide additional information as required by funder.
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Other:
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