Florida Wireless Waitlist

Enter your information below to be kept in the loop on FTRI's plan to offer wireless equipment to financially eligible Deaf, late‑deafened, hard of hearing, and deaf‑blind residents of Florida in 2026. This will help us develop some forecasting, and figure out where to deploy any future on‑the‑ground trainers.

Contact Information

First Name *

Last Name *

Email *

Phone *

Address Line 1 *

City *

State *

Zip Code *

Do you participate in FL Medicaid or SNAP? *

Are you on social security or retired? *

Do you have access to Wi-Fi at home / living facility? *

Do you already have access to a cellular plan? *

How comfortable are you with tablet and cell phone technology? *

Not at all comfortable (I struggle with most technology)

Slightly comfortable (I can use basic features, but need guidance)

Moderately comfortable (I can usually figure things out)

Comfortable (I adapt easily to new tools)

Very comfortable (I'm confident troubleshooting and learning on my own)

I am: *

Alternate Contact Information (optional)

First Name

Last Name

Phone

Relationship to Primary