Requester Information: (*) is a mandatory field -------------------------------- Requestor’s Name(Rezvani-Thürck): Requestor’s Email Address(Zohreh.rezvani-thuerck@cv-offenbach.de): Your Organization(Caritas Verband Offenbach): Organization Website / Facebook: www.caritas-offenbach.de Your Labdoo account user name (https://www.labdoo.org/user/register): -------------------------------- Project Site: -------------------------------- 1. Project title or name of your school, project, or NGO - A short title or description for your project(Wohnraumberatung): 2. Project Description - Please explain about your project and how you will use the laptops (by teaching the People how to find a flat to move): 3. Number of students(100): 4. Number of teachers(Rezvani-Thürck): 5. Claimed IT equipments (12) 5.1 Number of Laptops needed(10): 5.2 Number of eBook Reader needed: 2 5.3 Others needed (Tablet-PCs etc): 5.4 Additional comments: 6. On Site Contact Information / project manager. Please provide at least one way to contact (*): 6.1 Full Name(Zohreh Rezvani-Thürck, Projekt Zauberwerkstatt): 6.2 Phone(0152-09291539): 6.3 Email(Zohreh.rezvani-thuerck@cv-offenbach.de*): 6.4 Physical address of Organization (Jakobstr.5, 63500 Seligenstadt, Germany) 6.5 GPS coordinates (click the link to find the coordinates: https://www.gps-coordinates.net or https://support.google.com/maps/answer/18539) (*): 7. Language 7.1 Local / Preferred language(s)(German, englisch): 7.2 Additional information about language(s): farsi, arabic 8. Project Location - street, city, state/province, country, zip code(Seligenstadt, Rodgau): 9. Access to Internet(yes)? 9.1 Access to internet (yes) 9.2 Wired/cable (no) 9.3 Wireless (yes) 10. Conditions about the room where the laptops will be installed: 10.1 Is the room secure? [yes ] 10.2 Can the room be locked in a way that the supervisors (e.g. teachers) can control access? [/ no + brief explanation] 10.3. Is the room weather-proof? (e.g. does the room protect the laptops from rain, sand, etc?) [yes / no + brief explanation] 11. How did you hear about Labdoo?: --Search Engine (e.g. Google) --At local Conference, --At online Conference, --From other organizations/companies, --Facebook --Instagram --Other (from WISA- Verein) 12. Picture(s) of the school, students, teacher, etc with this Request Form. Please send as file(s) (*): The picture will be uploaded to your project site ***The solicitation of a Labdoo laptop request implies that, upon receiving the laptops, the recipient agrees with the "Labdoo Laptop Recipient Agreement".