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

First name

Last name

Name of organization

Phone number

Contact preference Phone Email

Address

City

State

County

ZIP

Equipment information

How many computers do you need?

Will the equipment requested be focused on digital access/equity serving rural, after school, senior centers and/or libraries? Yes No

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

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

Operating system? Yes No

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

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

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

Please explain

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.

How will you recognize an in-kind donation from Alliant Energy? Company website Social media News release Other

Please explain

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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TechRefresh Online Form

Equipment information