School PCs Project – How to Apply

School/Centre/NGO Name:

Physical Address:

School Phone:

School Email (Pls double check):

Contact Person:

Cell Phone:

Email (Pls double check):

Do you have a SECURED ROOM with furniture available? YesNo

Do you have electricity in the room? YesNo

Do you have a fixed telephone line at school? YesNo What is the number?

Do you intend to connect the computers to the internet? YesNo

Can you set aside one teacher for us to train who will later serve as a computer teacher in the school? YesNo

Are you willing to pay for such teacher? YesNo

When can we visit you school/centre for a needs assessment?

How many Dual Core Computers are you applying for?

How many Pentium 4 Computers are you applying for? {See (1.) below}

How many 15 inches LCDs (Flat Screens) are you applying for?

How many 17 inches LCDs (Flat Screens) are you applying for?

How many 19 inches LCDs (Flat Screens) are you applying for?

Do you need a switch? {See (6.) below} YesNo

Do you need a Printer? {See (7.) below} YesNo If Yes, which type: InkJet (Colour Printer)LaserJet (Only Black Print)

Do you need our help setting up your Local Area Network (LAN)? {See (8.) below} YesNo

Do you need our help for electrical wiring of your computer room? {See (9.) below} YesNo

Are you willing/able to pay for the computers per the costs below? YesNo

How many students are there in your school/centre:

How many teachers are there in your school/centre:

Please type in the following code:

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