Si necesita una forma Española, entra aquí:
Submit a request for a computer from Reboot for Youth
Please select your position:
Community center employee
Number of Students in Family:
For counselors only
Please provide a short description of financial situation:
to determine if recipient(s) genuinely needs a computer
Number of Computers Needed:
If you could give consent in having your photo taken for possible posting to the company website, please select yes below.
The Reboot Team is currently interested in gathering photos of computer recipients at delivery meetings. This is intended to provide a photographic timeline of our activities, and may be posted for advertising purposes on the company website (
If selected "Yes" above, do you also give consent for your name to be added next to the picture online?
How would you like to be contacted?
Email, phone, etc.
Any last remarks before submitting for approval?
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