Labdoo Laptop Request Form
Rev.  001

Requester Information:
======================
Your Name:		Winfried ZACHER
Your Email Address:	Winfried.Zacher@t-online.de
Your Organization :	Nyangao Hospital
Organization Website:	nyangaohospital.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:          Laptops for Nurse training school


Project Site:
=============
1.  Project Summary: 	4 years ago I helped to set up a new Nursing School in Tanzania for the training of Certificate Nurses (2 years course).Since then I am continously involved and visit about twice per year. The school is meanwhile running quite well - the first two intakes of students have completed their trainings with very good results. When we started the school we equipped it with 18 laptops which are being used for training all the students in the use of standard office programs as well as internet. Now the government agency responsible for the officialaccreditation of the school has required that the school must have 10 more laptops before it can receive its accrediation because the school now has about 60 students. The school however has serious financial problems and therefore is not able to fulfil this request. Therefore we would be very grateful if we could get a donation of these laptops. 
2.  Project Location:	Nyangao, Lindi Region, Tanzania	
3.  Preferred language(s): must be with English key board
4.  On Site Contact Information (please provide at least one way to contact):
    4.1. Name:		Siegfried RUNGE
    4.2. Phone:		+255628700060
    4.3. Email:		rungenyangao@gmail.com
    4.4. Physical address (street, city, zip code, country...): Nyangao Nursing School, P.O. Box 1022 Lindi (there is no physical address)
    4.5. GPS coordinates (if you know them or if you can find them out):
5.  Claimed IT equipement
    Number of Laptops needed: 		10
    Number of eBook Reader needed: 
    Others needed (Tablet-PCs etc):  
6.  Number of students:			57		
7.  Number of teachers:			 6
8.  Electricity in the room: 		110 V Europlug
9.  Does the room have access to the Internet? [yes / no] 	yes
    9.1. Is the access via wireless or cable?			wireless
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

***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).

(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.  

(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.