COPS AND COMPUTERS FOR THE COMMUNITY 

                   Changing lives, one computer at a time...

 

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  Grant Application

To receive your computer grant, fill out the following form in it's entirety (all fields are required) :

 

Applicant's Full Name  
Email Address  
Applicant's Age  
Address  
   
Phone Number  
School Attended  
Parent's Names  
   
Parent's Occupation  
   
Annual Household Income  
Why I Want A Computer Essay

In your own words, tell us why you should be given a free computer , how the computer will be used and the ages of the users.

                                      

 

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