Device Donation Form
Thank you so much for participating in CETI's device access project. Please fill out this form to let us know if you would like to support with device donations. For more information and details contact us at firstname.lastname@example.org or find us at
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What type of devices/peripherals would you like to donate. all devices should be working and should have all needed power cords, batteries, connectors (check all that apply and add numbers in comment)
Smart phones (only after 2015)
Tablets/Notebooks (only after 2015)
mice, keyboards (for laptops/tablets)
networking devices (routers/extenders/ ...)
Tell us about your devices ( how many of each, type of os, yr, flavour, ...)
Does your device meet the following (check all that apply)
undamaged, working condition
have a battery and power cord and all necessary peripherals
capable of accessing the internet
working camera, speakers, microphone
able to play videos, podcasts, install apps as needed
download, read documents, view/fill online forms
able to partivcipate in web video/conference calls
Do you feel able to (we will send instructions and offer office hrs)
Clean all data, accounts from your device
Ensure device is unlocked, recipient has admin privileges and can create accounts, install apps
Can you drop off the devices or do you need for us to arrange pick-up (if possible)?
Yes. I can drop the devices to a location.
No I will need somebody to come pick it up. Devices will be in a bag (all the prep will be complete).
Do you have any other peripheral devices/accessories you can donate (webcams, headphones, cases, manuals ...)
Thank you so much for your contribution. Please add any comments, questions, suggestions here. And please share information about the project with your network.
By participating in this project, I agree to CETI's Code of Conduct, the Contract/Agreement, and the Liability Agreement (docs on website).
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