Need Help? Request A Digital Navigator "*" indicates required fields Name of Individual Needing Assistance* First Last Is it best to contact by email or phone? Email Phone Both Phone numberEmail How did you hear about the National Digital Equity Center?Town (There are some programs available for only certain towns):County (There are some programs available for only certain counties):Need help with getting or keeping affordable internet access? Yes Not sure No Need help with improving or learning new digital skills? NDEC classes are free to all Maine residents. Yes Not sure No Need to request a Digital Skills Success Plan? Our Digital Skills Success Plans help you identify and reach your digital skills goals with the assistance of a Digital Navigator. Yes Not sure No Need a device to connect to the internet? Please note that NDEC device programs are limited to specific Maine regions and/or have specific qualifications. Most Programs require a Digital Skills Success Plan. Yes Not sure No Is this form being completed by the person needing assistance or someone else? I’m the person needing assistance I’m referring someone for assistance If you are referring someone else for assistance, what is your name? First Last Does the person you are referring know that you are completing this form for them? Yes No Not sure Please let the person you are referring know that you have shared their contact information with us and that someone from NDEC will be calling them to set up a time to meet with them to enroll them in our program. We will contact you to insure that has happened before we contact them.Email address of referring person Please enter the name of any referring organization here:Is there anything else you wish us to know about this request?Please note that NDEC Digital Navigators meet participants at only designated partner locations. NDEC Digital Navigators also do not fix devices. Δ
