Digital Opportunity @ Older Adults Technology Services (OATS) from AARP Partnership Form

Digital Opportunity @ Older Adults Technology Services (OATS) from AARP

Partnership Form

Name of Organization*

Type of Organization*

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If Government, Which Department?

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Organization's Coverage*

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State/s*

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If County, Which County/Counties?

Experience Working with Older Adults?*

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Organization's Main Target Audience

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Current Program Scope (click all that apply)*

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Potential Program Reach (individuals per year)*

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Do you have a current UEI Number?

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Organization's Main Contact*

Main Contact's Role

Main Contact's Email*

Other Notes

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