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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 hello@ceti.institute or find us at
https://ceti.institute
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* Required
Name
*
Your answer
Email address
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Your answer
Mobile/Phone/text
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Your answer
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)
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Smart phones (only after 2015)
Tablets/Notebooks (only after 2015)
Laptops
webcams
mice, keyboards (for laptops/tablets)
monitors
networking devices (routers/extenders/ ...)
Other:
Required
Tell us about your devices ( how many of each, type of os, yr, flavour, ...)
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Your answer
Does your device meet the following (check all that apply)
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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
Required
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
Required
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).
Clear selection
Do you have any other peripheral devices/accessories you can donate (webcams, headphones, cases, manuals ...)
Your answer
Thank you so much for your contribution. Please add any comments, questions, suggestions here. And please share information about the project with your network.
Your answer
By participating in this project, I agree to CETI's Code of Conduct, the Contract/Agreement, and the Liability Agreement (docs on website).
*
Yes
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