Computers are a necessary part of life today, providing education and employment opportunities as well as connecting you to the world around you. If you lack the financial income to cover the cost of purchasing a computer from other sources, SCIL will loan you refurbished desktop and laptop computers on a long- or short-term basis. Fill out the form below or click to download a PDF form to apply.
[contact-form to=’Mobilitycoordinator@scil4u.org’ subject=’Computer Equipment Loans’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Date of Birth (MM/DD/YEAR)’ type=’text’ required=’1’/][contact-field label=’Race’ type=’select’ required=’1′ options=’American Indian,Asian,Black,Hispanic/Latino,White,Other’/][contact-field label=’Gender’ type=’select’ required=’1′ options=’Male,Female’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Contact Phone’ type=’url’ required=’1’/][contact-field label=’Address’ type=’text’ required=’1’/][contact-field label=’County of Residence’ type=’text’ required=’1’/][contact-field label=’A Computer would allow me to:’ type=’select’ required=’1′ options=’Complete assignments,Further my education,Learn typing skills,Music,Find a job,Internet Access,Save documents,Entertainment,Other’/][contact-field label=’Are you a U.S. Veteran’ type=’radio’ options=’Yes,No’/][contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form]