Computers for Schools – NWT

School/Library/Organization (NPO): ___________________________________________________

School Board: _____________________________________________________________________

Name of Principal: __________________________________________________________________

Contact Name: _____________________________________________________________________

(If different from principal)

Address: __________________________________________________________________________

City/Community: _________________________ Prov. /Terr.: ________ Postal Code: ____________

Phone: (___) _____________________________ Fax: (____) _______________________________

E-Mail: ___________________________________________________________________________

Are you a private school? “Yes “ No Are you a First Nations school? “Yes “ No

Please Note:

The computer hardware made available through CFS will be mainly equipped with Windows XP operating systems provided you accept the Microsoft Licensing Agreement.
While Computers for Schools undertakes to provide a functioning computer, any subsequent liabilities or repairs are the sole responsibility of the recipient after having been in receipt of the equipment for three months.

Please Complete the Following:

1. Type of computer platform requested (please check one box):

“ IBM/Clones only* “ Macintosh (if available)

*I accept the Licensing Agreement for Windows 2000 between Microsoft and Industry Canada “

2. How many computers are you requesting _________Desktops __________Laptops

3. Do you need a printer? “ Yes “ No (Laser printers only available for schools/NPOs)

4. Please describe what this equipment will be used for?

“ Special needs students “ Curriculum support “ Internet research

“ Upgrading hardware “ Co-op projects “ Multimedia “ Library use

“ Word processing “ Administrative applications “ Classroom management

Other: ______________________________________________________________

Signature of Principal: _____________________________ Date: ____________________________

Signature of Contact: ______________________________ Date _____________________________

Please fax completed form to: 867-766-3983

CFS-NWT Workshop Location

5003- 48th Street Basement Suite

Yellowknife, NT Canada X1A 1N4