Labdoo Laptop Request Form


Requester Information:
======================
Your Name: Schulz Eduard
Your Email Address:edischulz@moov.mg
phone: 0261 32023 6325
Adress:  BP:433 Hell Ville 207 Nosy Be  Madagascar
Your Organization :Madagascar Sozialis Austria
Organization Website:www.madagaskar-sozialis-austria.com
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)


Project Site:
=============
1.  Project Summary: (The project will be help the students and the teachers to communicate , to contribuate by the new technologie and to get some informations  .)
2.  Project Location:NOSY BE
3.  Preferred language(s):French if it is possible
4.  On Site Contact Information (please provide at least one way to contact):
    4.1. Name:Raharisoa Anna
    4.2. Phone:0320712746 or0320430561
    4.3. Email:orasolonirina@yahoo.fr
    4.4. Physical address (street, city, zip code, country...):COBARA
    4.5. GPS coordinates (if you know them or if you can find them out):
5.  Number of Laptops Needed:
6.  Number of students:700
7.  Number of teachers:25
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? [ no] maybe WLAN in the future.
    9.1. Is the access via wireless or cable?
10. Conditions about the room where the laptops will be installed:
    10.1. Is the room secure? [yes we have got guard during the day and night]
    10.2. Can the room be locked in a way that the supervisors (e.g. teachers) can control access? [yes the room is big enough and the supervisor can ciculate in it]
    10.3. Is the room weather-proof? (e.g. does the room protect the laptops from rain, sand, etc?) [yes the room is good protected ]


***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.