Apply Online GENERATIONS ON LINE Internet Access and Training for Elders Thanks for your interest in Generations on Line! Please complete the following application form to receive a printable subscription form. Organization Name Address City State/Province Zip/Postal Code Contact Person Title Phone Number Email Address Number of facilities Number of patrons or residents at facility Are computers currently available for residents? Yes No If yes, how many? Internet access curently at facility? Dialup/Modem connection High-speed (DSL or cable) None Does your facility have someone who assists activities with residents that involve the use of computers? Yes No