Labdoo Laptop Request Form


Requester Information:
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Your Name: Drew Sarratore
Your Email Address: dsarratore@rsed.org
Your Organization :Rocketship Education
Organization Website:rsed.org

Project Site:
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1.  Project Summary: (Please provide a brief statement about the purpose that the laptops will serve in your project site.) 
The computers will be used to give students internet access. 

2.  Project Location:331 s. 34th Street San Jose CA 95116

3.  On-site Point of Contact Name: Drew Sarratore

4.  Contact Information (please provide at least one way to contact):
    4.1. Phone: 310-743-7040
    4.2. Email:dsarratore@rsed.org
    4.3. Physical address:331 s. 34th Street San Jose CA 95116

5.  Number of Laptops Needed: 10 

6.  Number of students:507

7.  Number of teachers:15

8.  Electricity in the room: (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 / no] Yes
    9.1. Is the access via wireless or cable? Both

10. Conditions about the room where the laptops will be installed:
    10.1. Is the room secure? [yes / no + brief explanation] Yes
    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


*** Upon Acceptance, the requester will need to read and agree with the "Labdoo Laptop Recipient Agreement"