Computer Equipment Check List

Print this out and attach it to the computer, BEFORE starting work.

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ORDER FOR: 
Community Group Name:_________________________________________________

Group's Contact Person (full name):_________________________________________________

Group's Contact Person's Phone Number: _______________________________________________________  
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COMPUTER SPECS:
# of Computers Requested: _________________

Requested Monitors (Circle one):  YES / NO

Optional Stuff Requested (Circle one):  NONE  /  NIC  /  MODEM
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TESTING CHECKLIST  -  Mark off components as you *TEST* them.
[ X   ]  --  TESTED OK
[ BAD ]  --  Not working
[ N/A ]  --  Not included/provided

[     ] CPU : ____________ (486,PI,etc)  Speed: ___________ MHz

[     ] RAM:   _________ MB

[     ] HD:    _________ GB

[     ] Floppy

[     ] Keyboard

[     ] Mouse

OPTIONAL EQUIPMENT:
[     ]  NIC / MODEM (Circle type included, if installed) 

[     ]  Monitor  ________ inch screen
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[ X ] PICKUP INSTRUCTIONS: Mark off while completing
[   ] Collect SIGNED waiver

[   ] Collect authorization letter if pickup person is not contact person

[   ] Check picture ID name matches Contact Person/Authorization letter

[   ] Record picture ID and ID name on back of waiver,
      with your volunteer name and date
[   ] File Waiver, this checklist (and authorization letter) 
      into the Organizations file.

Volunteer's name: ___________________________________ VCN login: _______________

Date completed: ________________________________________________