Surviving to Thriving #Techology Empowerment

Tech Empowerment

Disability Network & The BoomerEm
Disability Network is partnering with The BoomerEm to bring a fresh face to our Tech Empowerment program. We will be hosting sessions to empower people with disabilities in the technical world, teaching participants how to use tech devices, free or low cost applications, computer programs, and internet safety in a safe, supportive, and accessible way. It is our goal to make these learning sessions fun and exciting, offer opportunities to demonstrate and practice your new skills and earn prizes.

Our program offered to any adult with a disability for free and is designed for people with any level of technology experience. You may choose to participate as often or as few times as you would like, or just choose to participate in the topics you have an interest in.

We would like to offer in person sessions in the following counties: Grand Traverse, Leelanau, Benzie, Kalkaska, and Antrim Counties living in MICHIGAN. Please let us know if you live in one of these counties and have a preference for in person sessions!

This year we will be holding three raffles for tech giveaways. You can earn raffle tickets by attending and participating both the Tech Empowerment monthly sessions and corresponding #TechTuesday Coffee Hour Sessions. More information will be shared after registration.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County of Residence*
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth *

MonthDayYear
Date
I would like to register for the following sessions (check all that apply):*

Wednesday, September 24, 3pm-5 pm: BATA for Fall FunWednesday, October 21, 2-4 pm: Virtual Tech Day: Traverse City and ZoomWednesday, November 18, 2-4 pm: Amazon 101Tuesday, December 9, 2-4 pm: Podcasts and eBooks
An invitation to #TechTuesdays Coffee Hour sessions will be sent after each session.
I would prefer to join these sessions:*

Virtually, on ZoomAt the Traverse City DNNM OfficeIn person in Benzie CountyIn person in Leelanau CountyIn person in Kalkaska CountyIn person in in Antrim County
Disability Information

We are able to offer this program for free to individuals with disabilities living in MICHIGAN. Please complete the next set of questions so we can secure the funding to make this program possible.
What is your primary disability? (If you do not have a disability, please let us know)*
Do you need any accommodations?
Technology

Tell us about the technology you use at home or have used
Do you own a laptop computer?*
What types of devices are you comfortable using? Please mark all that apply*

SmartphoneComputerTabletGaming ConsoleAlexa Dot or EchoNot sureNeed practice with all devicesNone of the aboveOther, please explain in the last box below
Have you used zoom before?
Do you need help learning or connecting to zoom?
What types of subjects would you like to learn about? Check all that apply

Staying safe onlineUsing adaptive tech specific to your disabilityUsing technology to find things to do in my communityUsing technology to manage my finances, shopUsing technology to game, watch programs/movies, listen to music, or read booksPractice using different types of devices and having access to a loan closet to borrow different types of devicesUsing technology to learn new skills or hobbiesUsing technology to improve employment skillsLearning how to use Artificial IntelligenceOther, include in the box below
Did we leave something out? Let us know here!
Do you need any accommodations? Please describe below. We will try our best to accommodate your requests. We will reach out to discuss soon!
Participation in tech empowerment raffles and giveaways are limited to those living in Disability Network Northern Michigan's 17 county region. Additionally, participation in the raffles and givaways require a media release authorizing Disabilty Network Northern Michigan and The BoomerEm Inc., to collect and use photos, videos, recordings, and other images and likenesses of you and your winnings for testimony and program compliance reporting. This media may be used on our websites, social media, and reports.

I understand the above conditions for participation in any or all raffle(s) or giveaway(s) and authorize the use of photos, videos, recordings, etc., to be collected and used by Disability Network and The BoomerEm.I understand the above conditions for participation in any or all raffle(s) or giveaway(s) and do not authorize photos, videos, recordings, etc., to be collected and used by the Disability Network and The BoomerEm. I am choosing not to participate in the raffles and givaways. I may change my mind at any time by completing a new registration and complete a media release form.I understand the above conditions for participation in any or all raffle(s) or giveaway(s) and I am re-registering to authorize the use of photos, videos, recordings, etc., to be collected and used by the Disability Network and The BoomerEm.
Disability Network staff will be in touch to discuss how to connect to the Tech Empowerment Sessions. Reminder emails will be sent for the sessions you have registered for. A new registration will be sent for future sessions.
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Tech Empowerment

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