TechRefresh Equipment Request form

TechRefresh Online Form

TechRefresh is donating technology equipment to organizations and associations dedicated to strengthening digital access to our communities.

Required

Contact information

Name of organization

First name

Last name

Phone number

Contact preference Phone Email

Address

City

State

County

ZIP

If different than above, please provide an address able to accept FedEx shipments.

Request description

How do you plan to use the equipment? How does it help fulfill your mission?

Describe the audience to be served

Of the people who participate in the program for which you are requesting funding, are 50% or more of them from one of the following racial/ethnic minoritized groups: Black or African Americans, Hispanic or Latino, Asian, Native Hawaiian or Other Pacific Islander, or American Indian or Native Alaskan. Yes No

If yes, please identify which group your program serves. Black or African Americans Hispanic or Latino Asian Native Hawaiian or Other Pacific Islander American Indian Native Alaskan Other

Is the program for which you are requesting computers/technology exclusively or heavily focused on addressing inequality for one of the following groups: Veterans, Women in STEM, LGBTQ+, People with Disabilities. Yes No

If yes, please identify which audience your program serves.

Will you keep the equipment or will it be given to the people/clients you serve? Keeping it Giving it to others

Equipment information

Which type of computer are you interested in? (Check one or both.) Desktop Laptop

How many computers do you need?

Do your computers need an operating system (ex. Windows, etc.)? Yes No

Do your computers need a built-in web cam and microphone? Yes No

How will you recognize an in-kind donation from Alliant Energy?

Disclaimer: Alliant Energy Corporation and its subsidiaries and affiliated companies (also referred to as "Alliant Energy", "we" or "us") understand and respect the importance you place on the privacy and security of information that personally identifies you, your account or your energy usage. Please reference Alliant Energy's Privacy Policy for more details about the information we collect when you obtain energy service from us, use our Web sites, mobile applications and online services, or interact with us.

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