Labdoo Laptop Request Form Requester Information: ====================== Your Name: Annamaria Bokor Your Email Address: annamaria.bokor@stpoelten.caritas.at Your Organization : Caritas St. Pölten Organization Website: www.caritas.at You Labdoo account user name: (this is needed so that Labdoo can assign laptops to your project--registration can be done here: https://www.labdoo.org/user/register) Project title: (a short title for your project) Informatics for the school in Pognene/Senegal Project Site: ============= 1. Project Summary: (Please provide a brief statement about the purpose that the laptops will serve in your project site.) 2. Project Location: Thies, Senegal 3. Preferred language(s): French 4. On Site Contact Information (please provide at least one way to contact): 4.1. Name: Dr. Constance Mbaye 4.2. Phone: 00221 77 554 7245, 00221 76 372 3010 4.3. Email: tancymbaye@yahoo.fr 4.4. Physical address (street, city, zip code, country...): B.P. 3299, Thies - Escale, Senegal 4.5. GPS coordinates (if you know them or if you can find them out): 5. Number of Laptops Needed: 10 6. Number of students: 197 7. Number of teachers: 8, 2 F 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] 9.1. Is the access via wireless or cable? 10. Conditions about the room where the laptops will be installed: clé avec wifi 10.1. Is the room secure? [yes / no + brief explanation] construction with cement bricks, door locked, guard at night 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]n Yes ***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 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.