Refurbished Computer Application Form for College-bound Graduating high school students
EqOpTech reserves the right to publish all submitted essays, in whole or in part. All participants must sign the Technology form and the Participation Release Forms
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EqOpTech (Equal Opportunity Technology), a 501(c)(3) nonprofit organization, promotes equal access to technology while engaging student volunteers to give back and gain meaningful computer technical skills.
Applying for (Software loaded includes Windows 10, Linux Ubuntu, CloudReady) *
Eligibility: *
Required
To earn a computer, are you interested in the following: *
Required
Check the Computer Refurbishing workshop you are attending: *
Required
Do you have access to a computer at home? *
Your First Name *
Your Last Name *
Your Contact Phone Number *
Your mailing address *
Name of Your High School *
What high school classes have you taken or will take in college? *
Please describe how having a refurbished computer at home will help you achieve your academic goals.  (up to 200 words) *
What is your intended major and your career plan after college (up to 200 words) *
Allergies/Medical Information/Other, if any, for students who participate in computer refurbishing workshop(s). *
Emergency Contact # 1 - Name, for students who participate in computer refurbishing workshop(s) *
Emergency Contact # 1 - Cell Phone, for students who participate in computer refurbishing workshop(s) *
By checking the box below, I agree that I have read and understood all of the application information and requirements noted above. *
Required
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