Computer Surplus
Program application summary
Note: Fields marked with a * are required.
Organization Name
Organization Address
Full Name
Email Address
Phone Number
What computer equipment would you like to request?
Is there other computer equipment not listed above that you would like to request?
Are the devices requested part of a Digital Equity program to improve household connectivity, computing device availability/quality or technology training to effectively use the internet, or for operational support of such a program?
Please upload a copy of your tax exempt status certificate or other proof of non-profit status (e.g. non-profit ID #).