Techquity: Agency Technology Request Form

Techquity: Agency Technology Request Form

​This assistance is for organizations who serve individuals without access to a computer in their home. Please complete this form if you serve students, people seeking employment or vulnerable populations (including individuals who have experienced intimate partner violence or homelessness) and want to help us close the digital divide.

Organization Name

First Name (Organization contact)


 Laptop Computers
 Tablet

Delivery Street Address

Apartment/Room Number (if applicable)

Zip Code

Is there anything else we should know before making the delivery?

Please check the box to confirm that you allow United Way &/or Digital Bridge and their partners to share your contact information with volunteers.

Please check the box to confirm that you have read and agree to the following:
This is a volunteer effort. While we make every effort to make these deliveries work, we assume no liability for any mishandling, incorrect orders, or theft. We’re here to support you and are excited to be able to connect community members with the resources they need.

 

© 2021 United Way of Greater Milwaukee & Waukesha County is a 501(C)(3) Nonprofit registered in the US under EIN: 39-0806190.
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