Labdoo Laptop Request Form

Requester Information:
======================
Your Name: Mussa Muadhini
Your Email Address: zafsa_znz@yahoo.com
Your Organization : ZAFSA (Zanzibar Football Standard & Talents Advancement)
Organization Website: http://www.world-unite.de/en/zanzibar-tanzania-volunteering/football-soccer-athletics-coaching.html
http://envaya.org/zafsa
http://davidgoeszanzibar.wordpress.com/meine-projekte/
You Labdoo account user name: ZAFSA

Project Site:
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1.  Project Summary: To use for office-work (coordination) and coach-training of young students
2.  Project Location: Tanzania,Zanzibar, Stone Town, Amani
3.  Preferred language(s): English, Swahili
4.  On Site Contact Information (please provide at least one way to contact):
    4.1. Name: Mussa Muadhini
    4.2. Phone: +255 0773523997
    4.3. Email: zafsa_znz@yahoo.com
    4.4. Physical address: Amani, Stone Town, P.O. Box 2154, Zanzibar, Tanzania
    4.5. GPS coordinates: -6.16803, 39.59198
5.  Number of Laptops Needed: 1 (there could be more requested for the future/ details in e-mail))
6.  Number of students: 50
7.  Number of teachers: 4
8.  Electricity in the room: D, G, 230V, mains electric, standard voltage, socket type G (3 prong triangle, square holes)
9.  Does the room have access to the Internet?: no
    9.1. Is the access via wireless or cable? ---
10. Conditions about the room where the laptops will be installed:
    10.1. Is the room secure? yes, lockable doors and windows
    10.2. Can the room be locked in a way that the supervisors (e.g. teachers) can control access? yes, lockable doors, keys only for adult members (teachers)
    10.3. Is the room weather-proof? (e.g. does the room protect the laptops from rain, sand, etc?) 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).

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.