Logo of Digital Access for All.

Bridging the Digital Divide:
Digital Access & Literacy Program

Complete the form to apply to the waitlist today!

General Information:

Please enter your first name.
Please enter your last name.
Please enter your email address.
Please enter your phone number.

Home Address:

Please enter your home address.
Please enter your city.
Please enter your state.
Please enter your zip code.

Date of Birth:




Disability / Diagnosis:

Benefits / Services Received:

Caregiver / Service Provider:

Annual Income Information:

Marin County Residency:

Home Type:


Digital Access:

Do you have access to a device (made within the last 2 years) that can go online?
Do you currently have access to high-speed internet?

What will be the primary use for this Chromebook?

Go Back to the Digital Access for All Information Page