Laptop Request
Thank you for reaching out to us for help. Please know that no one ever ages out of One Simple Wish's support. This form is for those that aged out of foster care only. If you do not fit this description, please email us at info@onesimplewish.org to see how we may be able to help.

IMPORTANT: Please be aware that this form is for a GENERAL laptop request. In an effort to fulfill as many needs as possible, a laptop valued at approximately $300 will be sent. If you need to request a specific laptop, please email us at info@onesimplewish.org.
Full Name *
Your answer
Email Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Name of School *
Your answer
Area of Study *
Your answer
Former Caseworker Name *
Your answer
Caseworker Email or Phone Number to verify your time in care. If you do not have this, enter N/A and send your Ward of the Court letter to us at info@onesimplewish.org *
Your answer
Full Shipping Address including Street, City, State and Zip Code. We CANNOT ship to PO Boxes. *
Your answer
I understand that this form is for a laptop valued at approximately $300 and that I cannot request a specific make and model. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy