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layout: layouts/page.njk
useForms: true
eleventyNavigation:
key: Request a Computer
order: 30
---

# Request a Computer

Before we can hand out a computer, we'll need a bit of information from you.
After that, we will check your inquiry and come back to you.

- [I need a computer for _myself or my family_](#request-as-an-individual)
  {.form-choices}

If you would like to request hardware for a non-profit organization, please head
to
the [corresponding German site](https://www.angestoepselt.de/computer-beantragen/organisation)
for now.

## Frequently asked questions

## Request as an individual

<form method="post" action="https://www.angestoepselt.de/computer-beantragen/privat" enctype="multipart/form-data">
<input type="hidden" name="lang" value="en" />

Please fill out this form to request a computer.
Start with your contact information:

<label class="form-input">
  <span>Name:</span>
  <input type="text" name="contactname" required placeholder="First Last" />
</label>

<label class="form-input">
  <span>Email:</span>
  <input type="email" name="contactemail" required placeholder="mail@example.org" />
</label>

In order for use to give you a computer, we need a proof of eligibility.
This can be one of the following documents that are handed out by government
authorities:

> - eine Arbeitslosengeldbescheinigung (ALG I)
> - Bescheinigung über ALG II (Hartz IV)
> - ein Bewilligungsbescheid (für Geflüchtete)
> - Bescheinigungen vom Sozialamt, von der Schuldnerberatung oder vom Jobcenter
> - Bescheinigung eines anerkannten Trägers (z. B. Caritas, Diakonie,

    Jugendhilfeeinrichtungen)

> - BAföG-Bescheid
> - Rentenbescheid
> - Grundsicherungsbescheid
> - Lohnbescheid (maximal der 5-fache Regelsatz)

Please upload the document now – either as a photo or as a PDF.

<label class="form-input">
  <span>Eligibility proof:</span>
  <input type="file" name="document" required />
</label>

Now please enter your post address.
This should be the same as in the document above, if present.

<label class="form-input">
  <span>Adress:</span>
  <input type="text" name="addressline" required placeholder="Street + number" />
</label>

<label class="form-input">
  <span>Postal code:</span>
  <input type="text" name="postalcode" required placeholder="12345" />
</label>

<label class="form-input">
  <span>City:</span>
  <input type="text" name="city" required placeholder="Würzburg" />
</label>

Almost done!
If you have anything else you would like to mention, please do so below.

<label class="form-input">
  <span>Optional message:</span>
  <textarea name="message"></textarea>
</label>

Before submitting the form, please read the following:

- We don't send hardware via mail – you must pick up the computer personally
- At the moment, your waiting time will be approximately 2 to 6 weeks.
- [Ubuntu](https://wiki.ubuntu.com/) is the preinstalled operating system on all
  our devices.
  A word processor ([LibreOffice](https://www.libreoffice.org/)) as well as a
  web browser ([Firefox](https://www.mozilla.org/en-US/firefox/new/)) is also
  available.
- We normally hand out laptops.
  If you would rather have a desktop PC or need accessories like a screen,
  keyboard, mouse or printer, please state so in the field above.

<label class="form-checkbox">
  <input type="checkbox" name="hints" required>
  <div></div>
  <span>I have read the above.</span>
</label>

<div class="form-submit">
  <input type="submit" value="Send" />
</div>

</form>