Tech

CITY LIFE CENTER CARES TECH LOAN PROGRAM

We understand how hard it is to have multiple children and limited technology during these trying times. We want to ensure that no matter how many children live in your home, your household has adequate technology to meet your children's elearning needs.

Please fill out the computer loan interest form below with your request and we will reach out to you immediately.

Supplies are limited and will be distributing based on need and inventory.

Computer Loan Interest Form

* Indicates required field

First Name *

Last Name *

Email *

Number of school age children in household *

Number of functional computers/tablets in the household *

I can demonstrate a documented need for this tech not if required *

Yes

I understand that computer(s)/tablet(s) are strictly to be used for elearning purposes *

Yes

I understand that playing online games, accessing social media, searching inappropriate websites and downloading software of any kind is strictly forbidden *

Yes

I understand that computers or tablets loaned to me by City Life Center are the property of City Life Center *

Yes

I understand that I am liable for the full cost of the computer(s)/tablet(s) if it is damaged while in my possession *

Yes

I unstand that technology loaned to me by City Life Center must be returned no later than June 30, 2020 *

Yes

I agree to take a photo of my child working on the computer and to share grades and other info requested by City Life Center for data, reporting and promotional purposes *

Yes

I understand that I must sign a Computer Loan Agreement before taking possession of technology *

Yes

City Life Center staff will contact you within 48 hours of receiving this form. Thanks!

Submit

Computer Loan Interest Form

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