Labdoo Laptop Request Form


Requester Information:
======================
Your Name:  Avi Melamed
Your Email Address:   melamedavi@gmail.com
Your Organization :   Video Computacion Acuario C.A
Organization Website:  www.videoacuario.com
You Labdoo account user name: (this is needed so that Labdoo can assign laptops to your project--registration can be done here:
melamedavi@gmail.com   o  Avi Melamed  https://www.labdoo.org/user/register)
Project title: Proyecto Aula Creativ@ Digital


Project Site:
=============
1.  Project Summary: We are working on 8 different schools un rural areas in venezuela. we are installing 16 classroom.(2 on each school)
each class room will  have: 1 smartboard, 1 laptop, 1 projector. some of these schools only have 1 laptop for all teachers to use. 
teacher are going to need to work and develop content on laptops..
2.  Project Location: Venezuela, Estado Monagas
3.  On-site Point of Contact Name: Avi Melamed
4.  Contact Information (please provide at least one way to contact):
    4.1. Phone:  + 58 414 026 5237
    4.2. Email:    melamedavi@gmail.com
    4.3. Physical address: Av. Principal de Las Mercedes, C.C Cada de Las Mercedes, Nivel Semisotano, Local N 3, Caracas.
    4.4. GPS coordinates (if you know them or if you can find them out):
5.  Number of Laptops Needed: 30
6.  Number of students:     laptops are going to be for teachers..
7.  Number of teachers:      32
8.  Electricity in the room:  A
9.  Does the room have access to the Internet? [yes / no] YES. it was just installed for this project. all schools included on the project are going to have internet.
    9.1. Is the access via wireless or cable? wireless.
10. Conditions about the room where the laptops will be installed:
    10.1. Is the room secure? [yes / no + brief explanation] yes - with room will be locked.
    10.2. Can the room be locked in a way that the supervisors (e.g. teachers) can control access? [yes / no + brief explanation] yes. room will be locked and supervised by teachers.
    10.3. Is the room weather-proof? (e.g. does the room protect the laptops from rain, sand, etc?) [yes / no + brief explanation]  yes it is weather proof.


***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.