Birmingham City Council Digital Hardware Redistribution Scheme (DHRS)

Please answer all of the following questions

Question Title

* 1. Please provide your Organisation's name

Question Title

* 2. Please provide a description of your organisation and what services it provides to citizens in Birmingham and the West Midlands

Question Title

* 3. Please provide details on why your organisation requires Digital Hardware Devices (Desktops)

Question Title

* 4. Please provide details on the intended usage for the devices (intended purpose), and how this will benefit the citizens utilising your service

Question Title

* 5. How many devices do you require? In order to ensure equality of opportunity for all applications, allocations will be limited to 15 devices per application. If your organisation wishes to receive a greater allotment of devices than this limit, please provide further information in the additional information section.

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Question Title

* 6. Please provide a link to your organisation’s webpage, and/or case studies about the work of your organisation

Question Title

* 7. Please provide your name (or that of a nominated contact)

Question Title

* 8. Please provide a contact number and/or email address

Question Title

* 9. Please confirm that you are happy to collect the hardware from a nominated Council Site if successful.

Yes

Question Title

* 10. Are you happy for BVSC, Birmingham City Council and SocialBox to promote these device donations, the benefit they bring to your organisation, and the work of your organisation through their respective social media and communications channels?

Yes

No

Question Title

* 11. Please provide any additional details you feel are relevant to your application.