Labdoo Laptop Request Form

Requester Information:
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Your Name: Mrs. Anduena Stephan
Your Email Address: anduena stephan <anduena.stephan@i-de-al.org>
Your Organization : IDEAL.org e.V.
Organization Website: www.i-de-al.org
You Labdoo account user name:

Project Site:
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1.  Project Summary: 
Three Labdoo laptops shall be put at the disposal of University of Peshkopia for the purposes of supporting the Youth Empowerment and Employment Generation Project currently running. This project involves the preparation of a youth platform for employment search as well as a series of online trainings for additional qualifications. 
The University of Peshkopia is a branch of the Aleksandër Moisiu University.
http://en.wikipedia.org/wiki/Peshkopi
http://en.wikipedia.org/wiki/Aleksand%C3%ABr_Moisiu_University
2.  Project Location:Peshkopia, Albania
3.  On-site Point of Contact Name:Dr. Ledia Kashahu
4.  Contact Information (please provide at least one way to contact):
    4.1. Phone:
    4.2. Email:kashahuledia@yahoo.com
    4.3. Physical address:University of Peshkopia, Peshkopia, Albania, «Youth Employment Project» (YEP/YEEP)
    4.4. GPS coordinates: 41.68306, 20.42889
5.  Number of Laptops Needed:3 (only for this specific YEP project)
6.  Number of students:2500
7.  Number of teachers:100
8.  Electricity in the room: 220V, A, B
9.  Does the room have access to the Internet? [yes / no] partly yes
    9.1. Is the access via wireless or cable? partly yes
10. Conditions about the room where the laptops will be installed:
    10.1. Is the room secure? [yes / no + brief explanation] yes, project office
    10.2. Can the room be locked in a way that the supervisors (e.g. teachers) can control access? [yes / no + brief explanation] yes
    10.3. Is the room weather-proof? (e.g. does the room protect the laptops from rain, sand, etc?) [yes / no + brief explanation] yes

***The solicitation of a Labdoo laptop request implies that, upon receiving the laptops, the recipient agrees with the "Labdoo Laptop Recipient Agreement".

Labdoo Laptop Recipient Agreement:
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Dear Laptop receiver:

We are very pleased to have the opportunity to contribute to your project by providing technology to help bridge the digital divide. 
With every right comes responsibilities. Technology, when adequately used, can provide very powerful means to aid those that are 
most in need. But if used improperly, it can also damage our environment. By receiving the above items, you are automatically a
ccepting to abide by the following Labdoo global responsibilities:

(1) The items received will be used only for the purpose described by your organization at the time you solicited this donation. If you intend to use it for a different purpose, you will contact first the Labdoo team at contact@labdoo.org.
(2) In the case that an incidence occurs to any of the received items, you will contact the Labdoo team at contact@labdoo.org, 
including in your email the tagging number of the item(s) related to the incidence and a brief explanation. The following 
incidences must always be reported:
	(2.1) At the end of life of any of the received items, so that the item can be properly recycled. 
	(2.2) When an item breaks, malfunctions or any change in its status.
(3) Every six months, please send an email to contact@labdoo.org with the list of laptops that you have and their status (working or not working).
(4) Labdoo laptops are offered for free to you for education purposes.  In return, you agree to not use the laptops for commercial reasons and you agree not to charge any fee for the usage of the laptops.  

We thank you for your commitment to make our world a better place and we wish you best of luck in your humanitarian mission.

The Labdoo Team.