======================English Version======================(Updated 25-02-2019) Requester Information: (*) is a mandatory field -------------------------------- Requestor’s Name: Caleb Wakhungu Requestor’s Email Address : caleb@mt-elgonproject.org Your Organization : Mt. Elgon Self Help Community Program Organization Website / Facebook: www.mt-elgonproject.org Your Labdoo account user name (https://www.labdoo.org/user/register): -------------------------------- Project Site: Natondome village, Bubirabi Trading Center, Mbale District, Eastern Uganda 1. Project title or name of your school, project, or NGO - A short title or description for your project(*): The Mt. Elgon Nook Hub Uganda. 2. Project Description - Please explain about your project and how you will use the laptops : Nooks are 'schools without teachers' that provide everyone with free access to technology, tools, resources and information to co-create their own education. They help to address important Sustainable Development Goals (SDGs) such as SDG 4 (ensure inclusive and equitable quality education and promote lifelong learning opportunities for all), SDG 5 (gender equality), SDG 8 (decent work for all) and SDG 10 (reduced inequalities). 3. Number of students(*): 200 students annually targeting 1000 learners in 5 years. 4. Number of teachers(*): 4 Teachers and 6 support staff. 5. Claimed IT equipment’s (*) Requesting laptops. 5.1 Number of Laptops needed(*): 10 laptops 5.2 Number of eBook Reader needed: 2 5.3 Others needed (Tablet-PCs etc): 2 for staff 5.4 Additional comments: The It equipment’s will help our learners connect and learn new skills and improve community livelihoods in Uganda. 6. On Site Contact Information / project manager. Please provide at least one way to contact (*): 6.1 Full Name(*): Wafunika Andrew 6.2 Phone(*): +256782390799 6.3 Email(*): Andrew@mt-elgonproject.org 6.4 Physical address of Organization (street, city, zip code, country...)(*): Natondome village, Bubirabi Trading Center, Bungokho Sub-County, Mbale District, Uganda. 6.5 GPS coordinates : https://goo.gl/maps/r6JG5MrMNTAKerXc7: 1.005488, 34.171622 Bungokho 7. Language: English 7.1 Local / Preferred language(s)(*): English 7.2 Additional information about language(s): Lumasaba 8. Project Location - street, city, state/province, country, zip code(*): Natodome Village, Bungokho Sub-County, Mbale District, Eastern Uganda. Zip code +256 9. Access to Internet(*) Yes. We have internet installed in place 9.1 Access to internet (yes 9.2 Wired/cable (yes 9.3 Wireless (yes/ 10. Conditions about the room where the laptops will be installed: It is a safe, well ventilated room- enough to accommodate more than 10 laptops. 10.1 Is the room secure? [yes / no + brief explanation] Yes, The building is secure, permanent house with additional cctv system that was donated and will be installed. 10.2 Can the room be locked in a way that the supervisors (e.g. teachers) can control access? [yes . As indicated above, it is specious enough and teachers can control access. 10.3. Is the room weather-proof? (e.g. does the room protect the laptops from rain, sand, etc?) [yes /+ brief explanation] The room is weather proof and no water can penetrate through. 11. How did you hear about Labdoo?: From the internet. --Search Engine (e.g. Google) Yes. 12. Picture(s) of the school, students, teacher, etc with this Request Form. Please send as file(s) (*): The picture will be uploaded to your project site ***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: ---------------------------------------------------- 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 accepting 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. (1.1) If you intend to use it for a different purpose, you will contact first the Labdoo team at contact@labdoo.org. (1.2) Only schools and projects may claim for Labdoo computer donations and not by individuals. (1.3) Donated items may only be removed from school ground with admittance of Labdoo (example, teachers cannot take laptops outside school). If Labdoo reviser visit your project and discovered donated items are missing, your school / project will be excluded from Labdoo support and CANNOT receive any further donation. (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). (4) Labdoo laptops are offered for free to you for education purposes. In return, you agree to not use the laptops for commercial reasons and you agree not to charge any fee for the usage of the laptops. (4.1) The donated items cannot be resold to make money or exchange with other valuable items. (4.2) If discovered donated items are missing, your school / project will be excluded from Labdoo support and CANNOT receive any further donation. (5) By returning this form filled in, the solicitor confirms owning all rights on sent materials (current or in the future) submitted to Labdoo.org and allowing such content to be publicly available from Labdoo.org. In addition, the solicitor confirms having approval for taking pictures of the children and/or any person benefiting from Labdoo laptops, tablets or any Labdoo donations, from their parents and/or legal guardians. Labdoo.org explicitly points to the fact that sent materials and pictures/photos may be used online and/or offline, and hence that they can be accessed by third parties, and that such pictures are used to help preserve the transparency and accountability of the projects. 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. On Behalf of Mt. Elgon Self Help Community Program, We agree to the above terms and conditions and would like to apprereciate Labdoo for the kind support. We will keep and use the IT equipment correctly for the purpose they were donated for. Thank You. Caleb Wakhungu. Team Leader, Mt. Elgon Self Help Community Program.