Labdoo Laptop Request Form
Rev.  001

Requester Information:
======================
Your Name: Muliwabyo Justsu
Your Email Address: integratedcommunitydevt@gmail.com/info@idm-community.org  
Your Organization: Integrated Development For Marginalized Community (IDMC) LTD
Organization Website: http://www.idm-community.org/ 
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): integratedcommunitydevt@gmail.com

Project title: (a short title for your project): I want to solicit laptops or tablets for my educational project (edoovillage)
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: Kasese Town Centre – Central Division, Kasese Municipality. 
3.  Preferred language(s): English 
4.  On Site Contact Information (please provide at least one way to contact):
    4.1. Name: Muliwabyo Justus 
    4.2. Phone: +256782823621 
    4.3. Email: jmuliwabyojustus@idm-community.org 
    4.4. Physical address (street, city, zip code, country...):
    Street: Margherita opposite Umeme Town Centre – Central Division
    City: Kampala, Zip Code: +256 Country: Uganda 
    4.5. GPS coordinates (if you know them or if you can find them out):

5.  Claimed IT equipments
    Number of Laptops needed: 38
    Number of eBook Reader needed: 10
    Others needed (Tablet-PCs etc):  Android Tablet and Apple iPads & Multiple USB cables 06 
6.  Number of students: 65 
7.  Number of teachers: 4 (Four)  
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)
There is accessibility to electricity in the learning room with the following voltage/socket type specification;
    • An earthed Thai socket, Thai voltage is 220 V
    • Australasian switched 3-pin dual power point (socket) rated 10 amperes 
    • Power bar with CEE 7/1 sockets and CEE 7/2 plug
    • BS 1363 Socket Outlet adopter 250v. 
9.  Does the room have access to the Internet? [yes / no]
Yes 
    9.1. Is the access via wireless or cable?
Internet access is wireless. 
10. Conditions about the room where the laptops will be installed:
The rooms are spacious enough and properly raised to keep the room temperature and with ten multiple outlet of sockets
10.1. Is the room secure? [yes / no + brief explanation]
Yes, the room is well constructed with strong shutters that metallic, with proper electricity mitigation measure to weather like earthed wires.  
    10.2. Can the room be locked in a way that the supervisors (e.g. teachers) can control access? [yes / no + brief explanation]
Yes, the room has shutters that locked for proper safety of the equipments and there’s central key persons in charge of the keeping the keys and are meant answerable to the management committee. 
    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 whole building is well constructed with a shade allover that prevents rain from entering the rooms and there are also cloth materials that are in the windows that prevent dust to enter the room.  

***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.