Back to Digital Toolkit Agency Application "*" indicates required fields Name of Organization* Primary Contact* First Last Primary Contact Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County* Primary Contact Email* Primary Contact Phone Number*Secondary Contact Name First Last Secondary Contact Email Secondary Contact Phone NumberWhat is the Total Number of Touchpads Needed for all Locations?*Locations for Distribution*LocationQuantity of Touchpads Add RemoveCreate a new line using the (+) for each new location.Touchpad CostGift In-Kind Requested List all Stakeholders Involved with DistributionContact NameTitleEmail Add Removei.e. NC Representatives/School District Superintendent/Health Department DirectorHow do you propose supporting each location and child?*How and when do propose to register and distribute the Touchpads to qualified Pre-K students?*What foundations in your community support early childhood education and development?*Provide a brief statement indicating why you would like to partner with ApSeed:*If selected, describe how you feel this will impact your community?*Are you willing to collect and share data that would help ApSeed determine the level of success in your community?* Yes No How did you hear about ApSeed?SelectSocial MediaNewspaperMediaWebsiteOtherUpload Cover Letter* Drop files here or Select files Accepted file types: pdf, doc, docx, jpg, png, Max. file size: 25 MB. Please upload a cover letter describing why your organization should be selected for an ApSeed Grant.