Technology Empowerment Center: Computer Recipient Application
To receive a computer from the Technology Empowerment Center, you must meet requirements listed below:
-Be a permanent resident of the Twin Cities metro area
-Fill out Computer Recipient application
Fulfill the Technology Empowerment Center’s Basic Computer Course Program
1. Take New User Tutorial (During Open Lab)
2. Basics and Computer Skills Course (During Open Lab)
3. Typing and Computer Basics Class
4. Email and the Internet Class
5. Computer Maintenance
-Pay $50 for individuals
-After you’ve completed the requirements for the program you will able to purchase and a pick up a computer through the Technology Empowerment Center
*Reminder if you do not come on your scheduled pick up day, you will have to call and reschedule.
If you do not meet the income requirements listed below, you have the option to purchase a computer at a very low cost of $120 or $100 for non-profits.
For more information, call our office at 612-624-3704.
To receive a computer from Technology Empowerment Center, you must live in the Twin Cities area, have some type of income and fall below the 150% poverty level.
Below are the current poverty guidelines.
Persons in Family Max Allowed Income
For those who fall under the income guidelines and may be receiving government assistance, documentation for the application process includes any of the following:
MFIP benefits statement
General Assistance (GA) benefits statement
The prior year's state, federal or tribal tax return
Three consecutive months’ worth of income statements from an employer or paycheck stubs within the current calendar year
A Veteran Administration statement of benefits
Supplemental Security Income (SSI)
Social Security statement
An Unemployment/Workmen's Compensation statement of benefits
Federal or tribal notice letter of participation in General Assistance
Class enrollment for college bound students
All applicants must come to our office and provide proof of address and income.
NOTE: WE ONLY ALLOW ONE COMPUTER PER HOUSEHOLD
If you have any questions about the application or the program, please contact us at 612-624-3704 or, for more information visit us at
Asian/Southeastern Asian/ Pacific Islander
American Indian/Native american
Please indicate your gender identity: (example: cisgender, woman, transgender, man, genderqueer, non-binary, etc.)
Do you have DD214 papers showing honorable or general discharge from military service?
How would you rate your computer skills?
What will your computer be used for?
General Internet browsing
Do you currently have access to a computer? If so, where?
Have you ever owned a computer (i.e. How long ago? What happened to it? Do you still have it? etc.)
Have you taken computer classes before? Please list when and where.
List any specific computer goals you wish to improve on or learn.
How did you learn about the program?
Below are the current 2017 poverty guidelines. Please select one of the options if they apply.
1 (Person in Family) = $18,210 (Max Allowed Income)
2 (Person in Family) = $24,690 (Max Allowed Income)
3 (Person in Family) = $31,170 (Max Allowed Income)
4 (Person in Family) = $37,650 (Max Allowed Income)
5 (Person in Family) = $44,130 (Max Allowed Income)
6 (Person in Family) = $50,610 (Max Allowed Income)
7 (Person in Family) = $57,090 (Max Allowed Income)
8 (Person in Family) = $63,570 (Max Allowed Income)
Which program qualification do you meet?
Government Assistance Program
College Bound Student
How did you hear about this program?
Please print out a copy of this application for your records before clicking submit. This form will serve as your confirmation.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Twin Cities.