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LIBRARY/COMMUNITY PROFILE
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General Library Info
* Required Info
Library Name*
City*
Street Address*
State*
Zip*
Technology Infrastructure
# of Public Access Computers
Download Speed (Mbps)
Upload Speed (Mbps)
Wi-Fi
Technology Services/Resources
Laptops
Tablets
Work Spaces for Mobile Workers
e-Books
Online Homework Rsrcs.
Online Job Rsrcs.
Technology Training
Computer Skills
Internet Skills
New Technologies
Online Privacy
Programs/Assistance
Basic Literacy
GED
Online Health Info
Job Applications
Government Forms
E-rate Survey
Did the library apply for E-rate discounts during the July 1, 2016 E-rate funding year? (check one)
Yes
Yes, another organization applied on behalf of the library
No
Unsure
If the library did NOT apply for E-rate discounts in 2016, it was because: (check all that apply)
The E-rate application process was too complicated
Our E-rate discount is low and not worth the effort to apply
Of the need to comply with CIPA’s filtering requirements
Unsure
Other reason Character limit reached
What are the factors that affect the library’s ability to increase broadband connectivity? (check all that apply)
The library is at the maximum speed available to the location
The library cannot afford the costs of increasing bandwidth
City/county/other entity makes the decisions regarding the library’s bandwidth
The library does not have the technical knowledge to increase bandwidth
Other factor Character limit reached
How many internet service providers are available to the library? (check one)
One
Two
Three
More than three
Unsure
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Name*
Role*
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By submitting this form, you agree to the public release of the supplied library information, per the terms of the Digital Inclusion Survey. Your contact information is needed only for the purpose of verifying the submitted data, and will not be made available to any third parties. Changes to address information will not move the library point on the map until the next major data refresh.
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