Apply For a Laptop

To be considered for a laptop, you must complete this form as fully as possible, then be available for a pickup/orientation class in the computer lab at Salt & Light in Urbana. No payment is required, but only class attendees will be eligible for a free laptop.

Please read 'What you can expect as a recipient' before submitting this form.

Please fill in the form as completely as possible. * = required





Please select your level of computer skill: * Required
Beginner
Competent
Expert

Please describe why you are applying for a laptop, and what you are going to use it for.
(This is largely to determine the right type of laptop for you.) * Required

Is there any specific software you require? * Required