Creating Tech Savvy Families - Tech4All Form (Community)
Thank you for your interest in our program. This program is specifically geared towards assisting individuals and families with low-income access more affordable renewed computers. We refer to the Government annual Low Income Cut Off (LICO) as a guide. Please visit our website for the LICO amount which is dependent on the number of members in your family
Please note these are REFURBISHED/USED computers. We also cannot guaranteed what model of computer you will be getting. There is also an additional $20 door-to-door delivery fee applied for residents who live in Toronto, Misssisauga, Brampton. Payment is made upon delivery. Delivery options are also available outside these areas for a nominal fee.
Each family has the option of purchasing up to two computers per year. If you are interested in purchasing two computers, please complete this application twice with each application under a different name for warranty purposes.
If you feel your qualify, please take a few minutes to fill out the form. The information shared is kept confidential and will only be used for the purpose to purchase a computer and the Rogers Connected for Success Internet Program.
We will complete your online application for you which you will receive an e-mail copy of.
If you have any questions, please feel free to contact Ali at 416-302-8349 or e-mail at
Thank you and have a great day!
Applicant's First Name (This name will be on the warranty)
Applicant's Last Name
Affiliate School, Community or Organization Name (if applicable)
Staff Representative Name (if applicable)
Mailing Address (Please include unit number and/or level)
E-mail Address (This is our main method of communication. If you don't have one, please say don't have)
I would like to order a (please note shipping is not included in this price. Price range from $20 Toronto, Mississauga, Brampton)
Desk top ($60)
Lap top ($150)
The following question pertains to desktop purchases only. The desktops are NOT wireless and will require either an ethernet cable or wifi adapter to connect to the modem. Please specify which one you would like.
Ethernet Cable (complimentary) - Approximately 2-4 ft long each
Wifi Adapter ($20)
How many members are in your family (children, plus parents, etc.)
Is there anything else you'd like to share with us about your situation? (i.e. single parent, child with learning disability, refugee, parent is in school, etc.)
We require proof of your financial status. If you are a recipient of Ontario Works (OW) or Ontario Disability (ODSP), please send us a picture or scanned copy to
with your full name in the subject line. If you are not on either program, please send a copy of your last Notice of Assessment. IMPORTANT: Please omit/delete/cross out any identification or ID numbers before sending it to us. Will you be sending us proof of financial status?
How did you hear about our program?
Do you have a story to share on why the computer is important and how it will make a difference to you, your family, your friend or your organization?
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