Skip to form

Granny's World Registration

Thank you for your interest in Granny’s World!   Please fill in the following information to register for the program:

Address

1. Do you have internet access at home?

2. Have you yourself ever used a computer at home or at work?

3. Do you have a type of personal computer, including laptops, in your home?

4. Do you own a smartphone or tablet?

5. Do you have a wireless internet hotspot?

6. When you use the internet, what kind of activities do you do online?

7. What is your age group?

8. How many people live in your home?

9. Do you live with a child or grandchild?

10. Is there a device you are interested in using which you do not currently possess?

11. Do you speak a language other than English at home?

12. How well do you speak English?

13. Which of the following describes your income last year?

12. Do you have any medical conditions or accommodations that we need to be aware of or that need to be addressed?