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Program of Distinction

UJA-New York


Connect Through Tech Coaching Volunteer Application 2019

  Impact the life of an older adult by coaching them to use technology to connect to others and access resources. Build confidence, understanding and technology skills. Training, materials and ongoing support all provided.

  Your contact information:

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Name:

 

 

   

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City/State/ZIP:

 

    

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  EXPERIENCE
 
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  TECH COACHING
 
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Question - Required - I heard about Tech Coaching through










   


   


 


   


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Question - Required - How comfortable are you learning new technology?



  Please check ALL your current technology knowledge/skills below
 
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Question - Required - Devices

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Question - Required - Applications

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Question - Required - Types of Apps You're Familiar With

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  AVAILABILITY
 
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Question - Required - All coaching visits take place in DOROT's catchment area. Please select all locations you would consider

 


 
Question - Not Required - Are you willing/able to be in a home with the following pet?

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Question - Required - What is your preferred day/time for training?



  Please check all days/times you are available. Once you are matched with a client, you will be able to select an exact time that works for both of you.
 
 
Question - Not Required - Monday

 
Question - Not Required - Tuesday

 
Question - Not Required - Wednesday

 
Question - Not Required - Thursday

 
Question - Not Required - Friday

 
Question - Not Required - Saturday

 
Question - Not Required - Sunday

   Please leave this field empty

     

 
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