Application Form Apply Check your eligibility and start your application Name * Email * Phone * Are you 21 years of age or older? * ✓ Yes ✗ No Do you have a US residence with proof of address? * ✓ Yes ✗ No Do you have reliable internet access at home? * ✓ Yes ✗ No Do you have space for a small computer near an outlet? * ✓ Yes ✗ No Submit Application ✓ Application submitted successfully! We'll be in touch soon. ✗ There was an error submitting your application. Please try again. 🔍 DEBUG: Form data collected successfully. In production, this would be sent to Google Sheets.