Individual and Family Application

PCs for MAINE is a program of the Information Technology Exchange, a 501(C)3 Non-Profit Organization whose purpose is to increase technology access and literacy!

www.pcsformaine.org
www.facebook.com/itec3maine

READ THE TERMS AND CONDITIONS: PDF DOCUMENT DOWNLOAD

You may also download the application (via this link) and scan or mail it to us!

(Remember to scroll back up to Review and Submit the application!)

 
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FULL First and Last Name
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Which item most closely relates to your goals?
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Your information is never given out to a third party.
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Your information is never given out to a third party.
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Not a requirement for participation.
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We like to express our thanks for referrals!
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We like to express our thanks for referrals!
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This is someone who will be paying your fee for you.
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Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
I have a lot of experience with computers. *
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A- Simplest E- Most Advanced
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(Remember to scroll back up to Review and then Submit the application!)
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