Refurb Hope Computer Application

Name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Please upload your High School Transcript or GED *

Click or drag a file to this area to upload.

Please upload your College/Trade School Acceptance Letter *

Click or drag a file to this area to upload.

Why do you need a computer from Refurb Hope? *

How did you hear about Refurb Hope? *

Will you be using your new computer at least 3 days a week? *

What will this laptop primarily help you with? *

What long-term impact do you feel a computer from Refurb Hope would have on your life? *

Would you describe your current financial situation as a barrier to accessing a reliable computer? *

What are your educational / professional / technical plans following high school? *

Do you acknowledge that Refurb Hope provides refurbished devices as-is with no resale allowed? *

Are you willing to talk about / provide feedback about your experience with Refurb Hope? *

Do you consent to your photo being taken and used on Refurb Hope's social media? *