Computer Lab Reservation

Computer Lab Reservation

Come use our computer lab! Access to high-speed Wi-Fi, you can use our laptops or bring your own device, Free coffee, print up to 10 pages for free. Receive a free $20 HEB gift card after completing three visits to our lab. Lab visits must be once a day & must be 30 minutes or longer to be eligible for the gift card after three visits.
Computer Lab Reservation*
Name - Nombre*

First NameLast Name
Preferred Language - Idioma Preferido*

EnglishEspañolNo Preference - No tengo preferencia
Phone Number - Número Telefónico*
E-mail - Correo Electrónico*
example@example.com
Do you need assistance setting up an e-mail account?

YesNo
How did you hear about the workshop? - ¿Cómo te enteraste del taller?*

Empower House EmailFacebookInstagramWeb Site - Página WebEmpower House Staff/Empleado de Empower HouseResident Coordinator for Opportunity HomesEmpower House Radio 101.5Other
Thank you for answering the optional demographic questions. This information gives us a better picture of the community we are serving.
Gender/Género*
Ethnicity/Etnicidad*
Hispanic or Latino Origin - Origen Hispano/Latinx*
Birthdate/Fecha de Nacimiento*

MonthDayYear
Date
Household size/ Miembros en el Hogar
Household Income/Ingresos del Hogar
Household income is/el Ingreso del Hogar es

annual/anualmonthly/mensualweekly/semanal
Address - Dirección *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What other workshops would you be interested in? Que otros talleres les interesa en participar?

Basic Computer SkillsAccess to our computer labLearning how to use Google docs, sheets and slidesLearn how to create a Business PlanOne-on-One virtual or person WorkshopFinancial Literacy Workshop
Do you have internet access in your home?/¿Tienes acceso a Internet en tu casa?*

Yes/SiNo
Do you have a computer in your home?/¿Tienes una computadora en tu casa?*

Yes/SiNo
Select if you would like to receive text updates from Empower House about our essential programming and services. /Marque si desea recibir mensajes de texto acerca de nuestros servicios y programas esenciales*

Yes/SíNo, thank you/No gracias
Select if you would like to receive email updates from Empower House about our essential programing and services. /Marque si desea recibir correos electrónicos sobre nuestros servicios y programas esenciales*

Yes/SíNo, thank you/No gracias
Monthly email newsletter? / ¿Desea ser añadido a nuestro boletín informativo mensual por correo electrónico?*

Yes/SíNo, thank you/No gracias
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