Labdoo Laptop Request Form Requester Information: ====================== Your Name:Maria Guadalupe Chow Your Email Address:mariac@rcma.org Your Organization :RCMA Organization Website:www.rcma.org Project Site: ============= 1. Project Summary: (Please provide a brief statement about the purpose that the laptops will serve in your project site.) In our Community Learning Center have different adults’ class. Spanish literacy, elementary, middle school, ESOL and computers, among others. Our students are adults with low income and all are farmworkers. 99% of the computer class students, doesn’t have computer at home. Even do, they try to learn in the class at the end of the course, they cannot have a computer to practice at home. 2. Project Location: 13600 SW 312 ST, Homestead, Florida 33090 3. On-site Point of Contact Name: 4. Contact Information (please provide at least one way to contact): 4.1. Phone:305-772-8911 4.2. Email:mariac@rcma.org 4.3. Physical address: 13600 SW 312 ST, Homestead, Florida 33090 5. Number of Laptops Needed:20 6. Number of students:20 7. Number of teachers:3 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] 9.1. Is the access via wireless or cable? 10. Conditions about the room where the laptops will be installed:at home 10.1. Is the room secure? [yes + All house have Urban Housing Department supervisions. ] 10.2. Can the room be locked in a way that the supervisors (e.g. teachers) can control access? [We already have a computer room but we need the computers for our students. They are low income families and farm workers that cannot afford to buy one.] 10.3. Is the room weather-proof? (e.g. does the room protect the laptops from rain, sand, etc?) [yes + Houses are weather-proof can protect the laptops] *** Upon Acceptance, the requester will need to read and agree with the "Labdoo Laptop Recipient Agreement" See the pictures below: