Labdoo Laptop Request Form Requester Information: ====================== Your Name: Roy Mwilu Your Email Address:mroy00@yahoo.com Your Organization :Copperbelt Health Education Project Organization Website:www.chep.org.zm Project Site: ============= 1. Project Summary: (Please provide a brief statement about the purpose that the laptops will serve in your project site.) CHEP with support from Cecily's fund recruits a total number of 50 Peer Health Educators each year to promote positive behaviour change in schools. During their year of implementation,Peer Health Educators are trained in basic IT skills (Computer Literacy Program)as part of capacity building.CHEP only has 1 laptop to conduct the IT trainings which is not sufficient enough to cater for all the students. It is with such a background that CHEP is requesting for a total number of 25 laptops to enable us carry out the trainings effectively. 2. Project Location:Kitwe 3. On-site Point of Contact Name: Pimmy Muzyamba 4. Contact Information (please provide at least one way to contact): 4.1. Phone:+260-966949611 4.2. Email:pimmuzya@hotmail.com 4.3. Physical address: Ndeke Village, Kitwe 5. Number of Laptops Needed:25 6. Number of students:50 7. Number of teachers:1 8. Electricity in the room:65 Watts and Socket type is british standard (Voltage and plug/socket type, e.g. type A, B, C, D, etc. see following link for explanation of types: http://en.wikipedia.org/wiki/AC_power_plugs_and_sockets) 9. Does the room have access to the Internet? Yes 9.1. Is the access via wireless or cable? The internet access is both on wireless and cable 10. Conditions about the room where the laptops will be installed: 10.1. Is the room secure? Yes 10.2. Can the room be locked in a way that the supervisors (e.g. teachers) can control access? Yes 10.3. Is the room weather-proof? (e.g. does the room protect the laptops from rain, sand, etc?) Yes *** Upon Acceptance, the requester will need to read and agree with the "Labdoo Laptop Recipient Agreement"