This Student Attendance & Effort Report
can help students (7th grade through
College)
receive a Free Computer. |
I request that _______________________________ provide the information requested below so that
your student
(Name of school - Please print -) _________________________________ may receive a computer by participating in the program described below. (Name of student
- Please print - )
Signature of parent/guardian, or college
student : ___________________________ Date _____________
Printed name of
parent/guardian or college student: ___________________ Home Phone :_________ Work Phone
____
1. Name of student applying for a computer:
_______________________________________ Grade __________
2. Name of School ________________________________________________________
3. Address of school _______________________________________________________
4. Is the named student attending your school? ____________
5. Number of unexcused absences from school in the past marking period: ____________
6. Number of unexcused times late for class in the past marking period: ______________
7. Is this student working at or near their academic ability? ______________ Grade point average ___________
Signature of school representative: ___________________________ Title: ______________ Date ___________
Printed name of school representative: ________________________ Phone: _____________________
This
program is for students...7th grade and above, including
college students
We are preparing a
good used computer for the student that will allow a connection
to the Internet, (with 6 months of free Internet service)
adequate memory and processor to make the computer run well, a
sound card to let the student hear sound, if they get speakers
connected to the computer, and adequate storage space for the
software programs installed, and school assignment documents.
The student can chose
to have an"Office" ...*type Software...* installed on their
computer. The program provides tools for word processing
(writing letters and school papers), spreadsheet (doing
accounting type work), and a database (organizing lists of
people and things).
*
The version of this software is nearly the same and
compatible with the programs used by students in local schools.
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Please print and hand deliver or mail this application to: Bill and LaVerne Blickley,
1312 Dunham SE,
Grand Rapids, MI
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To
assure that your community work has been done, we must also receive
a letter of confirmation from the organization you served. Click
here for excerpts of letters from organizations confirming volunteer hours done by a student and their family for a computer.
Don't know where to volunteer?... Call
211 or Click
Here
It is required that these letters be on official stationary and include the date that the work was done and a description of the work. The letter must be signed by the supervisor.
Click Here to get instructions for writing
the letter.
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