Requester Information: (*) is a mandatory field -------------------------------- Requestor's Name(*): Kule Alfred Requestor's Email Address(*): rwenzoriorganics@gmail.com Your Organization(*): Rwenzori Organic Coffee Farmers Mountain Harvest Cooperative Society (ROCS) Organization Website / Facebook: https://www.facebook.com/profile.php?id=100095773261643 Your Labdoo account user name (https://www.labdoo.org/user/register): RWENZORI ORGANIC COFFEE FARMERS MOUNTAIN HARVEST COOPERATIVE ------------- ------------------- Project Site: ---------------------------- ---- 1. Project title or name of your school, project, or NGO - A short title or description for your project(*): Rwenzori Organic Coffee Farmers Mountain Harvest Cooperative Society (ROCS) 2. Project Description - Please explain about your project and how you will use the laptops (*): We submitting this application to your office seeking for support of 05 Laptops to support our day to day corporative activities including member farmers training in IT application to ably record, track online markets and weather updates, as well help our farmer group members to support their children’s education without technological challenges. This has been a great gap in information dissemination among our farmers hindering the production targets and record keeping for quick reference 3. Number of students(*): 500 fully subscribed member farmers 4. Number of teachers(*): 05 5. Claimed IT equipments (*) 05 5.1 Number of Laptops needed(*):05 5.2 Number of eBook Reader needed: 00 5.3 Others needed (Tablet PCs etc): 00 5.4 Additional comments: we will appreciate receive this consignment to enable us achieve our goals 6. On Site Contact Information / project manager. Please provide at least one way to contact (*): 6.1 Full Name(*): Kule Alfred 6.2 Phone(*): +256775203121 6.3 Email(*): rwenzoriorganics@gmail.com 6.4 Physical address of Organization (street, city, zip code, country...)( *): Kikonzo cell, railway ward, central Division, Kasese Municipal Council, 256 Uganda. 6.5 GPS coordinates (click the link to find the coordinates: https://www.gps-coordinates.net or https://support.google.com/maps/answer/18539) (*): Longitude: 30.0948142 Latitude: 0.1735861 7. Language 7.1 Local / Preferred language(s)(*): English & Kiswahili 7.2 Additional information about language(s):N/A 8. Project Location - street, city, state/province, country, zip code(*): Kikonzo cell, railway ward, central Division, Kasese Municipal Council, 256 Uganda. 9. Access to Internet(*)? Yes 9.1 Access to internet (yes/no) Yes 9.2 Wired/cable (yes/no) No 9.3 Wireless (yes/no) Yes 10. Conditions about the room where the laptops will be installed: It is a permanent house, commercial building well supplied with electricity 10.1 Is the room secure? [yes / no + brief explanation] Yes, it has strong metallic doors 10.2 Can the room be locked in a way that the supervisors (eg teachers) can control access? [yes / no + brief explanation] Yes 10.3. Is the room weatherproof? (eg does the room protect the laptops from rain, sand, etc?) [yes / no + brief explanation] Yes, roofed with iron sheets 11. How did you hear about Labdoo?: --Search Engine (eg Google) --At local Conference, --At online Conference, --From other organizations/companies, From other organization --Facebook --Instagram --Other (please describe ) 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". -------------------------------------------------- -- 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 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. (1.1) If you intend to use it for a different purpose, you will contact first the Labdoo team at contact@labdoo.org. (1.2) Only schools and projects may claim for Labdoo computer donations and not by individuals. (1.3) Donated items may only be removed from school ground with admittance of Labdoo (example, teachers cannot take laptops outside school). If Labdoo reviser visit your project and discovered donated items are missing, your school / project will be excluded from Labdoo support and CANNOT receive any further donation. (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 letter 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 educational purposes. In return, you agree not to use the laptops for commercial reasons and you agree not to charge any fee for the usage of the laptops. (4.1) The donated items cannot be resold to make money or exchange with other valuable items. (4.2) If discovered donated items are missing, your school / project will be excluded from Labdoo support and CANNOT receive any further donation. (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 the best of luck in your humanitarian mission. The Labdoo Team.