Labdoo Laptop Request Form
Rev.  001

Requester Information:
======================
Your Name: Mr. Paul Hossou
Your Email Address: ghanaunion_dusseldorf@ymail.com
Your Organization: Ghana Union Düsseldorf e.V.
Organization Website: www. ghanauniondusseldorf.com
Your 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: Diabene Community ICT Project


Project Site:
=============
1.  Project Summary:(Please provide a brief statement about the purpose that the laptops will serve in your project site. ) Diabene is a rural community in the western region of Ghana, which the children in the community are far behind those in the cities in terms of technological development. Our aim is to improve the future of our children through ICT and your support will be appreciated
2.  Project Location: Diabene Western Region of Ghana
3.  Preferred language(s):English
4.  On Site Contact Information (please provide at least one way to contact):
    4.1. Name: Nana Aba Essoun
    4.2. Phone:+233246852893/+233559091850
    4.3. Email:nkessahcharles@gmail.com
    4.4. Physical address (street, city, zip code, country...):Diabene - Krom, Takoradi - Ghana
    4.5. GPS coordinates (if you know them or if you can find them out):N/A
5.  Claimed IT equipment
    Number of Laptops needed: 50
    Number of eBook Reader needed: 
    Others needed (Tablet-PCs etc.): 5
6.  Number of students:600
7.  Number of teachers:10
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) (Voltage: 240 volts
 plug/socket type :B with AC power plugs and sockets)
9.  Does the room have access to the Internet? [yes / no]: no
    9.1. Is the access via wireless or cable? 
10. Conditions about the room where the laptops will be installed: It is a building completed not Long ago so it is in a good shape for the computers.
    10.1. Is the room secure? [yes / no + brief explanation]: yes it is very secured
    10.2. Can the room be locked in a way that the supervisors (e.g. teachers) can control access? [yes / no + brief explanation] : yes it has a secure doors which has locks.
    10.3. Is the room weather-proof? (e.g. does the room protect the laptops from rain, sand, etc?) [yes / no + brief explanation] yes it is newly constructed building and everything is intact.

***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
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. 
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.