Hardware Grant Request Form

This page is being used to develop a new hardware grant request form for possible use in Lime Survey. The discussion page is where the magic happens for now.

Current Request Form
If you’d like to learn about our community grants program, please visit our hardware grants information page.

Organizations which require community should answer the following questions and then hit the “Submit” button. Please do not email requests or send hard copies.

Organization name:

Organization purpose:

Organization website:

Federal Tax ID or other not-for-profit status verification:

Contact name:

Contact email:

Please list additional contacts, if applicable.

Is your organization within the Portland city limits? Yes No

Organization address:

Do you have a Portland area contact to facilitate the process? Without a local contact, we are extremely unlikely to approve a hardware grant request. Free Geek will not be able to ship computer equipment.

What equipment do you want from Free Geek? Please specify amount and type, i.e. number of monitors, number of computers, etc.

What will it be used for?

When do you need it by?

Do you have a contact who is already volunteering or working at Free Geek?

Do you have a person in your organization who can be responsible for technical support issues?

How did you hear of us?

Please explain your plan for environmentally responsible disposal of any hardware that eventually fails.

Please type the letters/numbers below into the box so we know you’re human.