Computer / Mifi Programme Form

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* 1. Organisation Name

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* 2. Contact Details

Phone

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* 3. Please tell us a little bit about who the machines would be targeted towards (e.g. children, people with disabilities, older people, BME people, people looking for work)

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* 4. Where does your organisation operate in Glasgow?

North East

South

City Wide

Please note that the North West is not included in our distribution programme.

Organisations in the North West should complete this form instead: https://forms.gle/XE8cH6yXfJHNr6c18

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* 5. How many computers can you get to people that need them?

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* 6. We currently have a small number of Chromebooks laptop computers. These must be targeted towards people for whom a desktop computer is not suitable. Do you believe this applies to any of your users?

Yes

If yes, please explain why

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* 7. How many MiFi devices do you think you will need for the people you are helping?

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* 8. Please provide contact details in order to arrange for delivery

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* 9. Location for delivery

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* 10. Are there any storage limitations (e.g. capacity) we should be aware of?

DATA PROTECTION

GCVS takes your privacy seriously and will only use the information supplied in line with Data Protection legislation. GCVS will be sharing the information you provide on this form with partners in order to assess and process your submission.

We will treat your information with respect. For more information about our privacy practices please visit our website.

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* 11. Are you happy for us to share the information you provide on this form in order to assess and process your submission?

Yes

Thank you for filling in our form, someone will be in touch soon regarding your submission.