---
layout: layouts/page.njk
useForms: true
---

# Request a laptop for private use case

{% if config.applicationsClosed %}

> We currently have no hardware available.
> Please check back on our homepage in a few weeks.
> 
> Thank you for your understanding!

{% endif %}



<form method="post" action="/computer-beantragen/privat" enctype="multipart/form-data">
{% if config.applicationsClosed %}
  <fieldset disabled="disabled" class="blanked-out-form">
{% endif %}
On this page you can submit an application to receive a computer from us.
from us. Please provide us with your contact details first.

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

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

Which device would you like to receive from us?

{% for device in config.devices %}

<input type="radio" id="hardware-{{ loop.index }}" class="radio-input" name="hardware" required value="{{ device.name }}" {% if not device.available %}disabled{% endif %}/>
<div class="form-input">
	<label for="hardware-{{ loop.index }}">{{ device.name }}{% if not device.available %}<br><em>Currently not available</em>{% endif %}</label>
</div>

{% endfor %}


In order for you to receive a computer from us, we need you to provide us with
proof of need. This is one of the documents issued by official
issued by official bodies:

- a certificate of unemployment benefit (Arbeitslosengeldbescheinigung, ALG I)
- certificate of citizen's allowance (Bürgergeld, formerly ALG II / Hartz IV)
- a notice of approval (Bewilligungsbescheid, for refugees)
- certificates from the social welfare office, debt counseling or job center
- certificate from a recognized provider (e.g. Caritas, Diakonie, youth welfare facilities)
- BAföG certificate
- pension certificate
- basic income support certificate
- wage statement (Lohnbescheid, maximum of 5 times the standard rate)

Please upload the document in the following step - either as a photo or scanned as a PDF.

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

Please give us your address now. This should be the same as the one
mentioned in the document above.

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

<label class="form-input">
  <span>Zip 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>

Thank you for your information. Is there anything else you would like to tell us?

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

Before submitting the form, please read the following instructions carefully:

- Unfortunately, we can only accept requests from Unterfranken. You can only get a computer if you live in [Unterfranken](https://de.wikipedia.org/wiki/Unterfranken){target="_blank" rel="noopener noreferrer"}.
- We do not send devices by post - the computer must be collected in person.
- The current estimated waiting time is 2 - 6 weeks.
- [Linux Mint](https://www.linuxmint.com/){target="_blank" rel="noopener noreferrer"}
is installed on all the devices. For writing purposes, you can use
([LibreOffice](https://de.libreoffice.org/){target="_blank" rel="noopener noreferrer"}), and for browsing the Internet
([Firefox](https://www.mozilla.org/de/firefox/new/){target="_blank" rel="noopener noreferrer"}).

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

<!-- FORM -->

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

{% if config.applicationsClosed %}
  </fieldset>
{% endif %}
</form>