Request a Computer

Thanks to grant funding, DiverseIT provides free computers to people with qualifying disabilities. We can also provide a limited number of computers to other nonprofits as part of our training work. Priority is given to individuals with qualifying disabilities.

1. Please fill out a request form below to see if we can accommodate your specific need.

2. Send proof of disability to DiverseIT in one of the following ways:

Email: Take a picture or scan your document and send to DiverseIT@GoAdelante.org with an e-mail subject of Computer Request.

Mail:
DiverseIT
5400 San Mateo Blvd NE
Albuquerque, NM 87109

ATTN: Computer Request

Fax:  505.341.2001 attention: DiverseIT Computer Request

Phone: If you are a client of NMDVR, GCD, ILRC, or another disability program your case manager can call 505.341.7166 and verify your status.

Name of Person Making Request: ^*

Name of Recipient:

Recipient Email: ^*

Recipient Phone: ^*

Recipient Street: ^*

Recipient City: ^*

Recipient State: ^*

Recipient Zip Code: ^*

Recipient Date of Birth: ^*

Disability (if applicable): ALSAlzheimersAmputeeArthritisAutismBehavioral/Emotional DisorderCancerCerebral PalsyChronic MedicalDementiaElderlyExtreme MaladaptiveFetal Alcohol SyndromeHearing ImpairmentIntellectual DisabilityLearning DisabilityLeukemiaMental IllnessMSNeurological ImpairmentNon-MobilePhysical (uses wheelchair/walker/cane)Prader-Willi SyndromeSeizure DisorderSpeech ImpairmentStrokeSubstance AbuseTBIUnknownVision ImpairmentOther

What kind of equipment are you requesting?: --None--DesktopDesktop with WebcamLaptop

What else do you want us to know?:

Type the text shown: *

^* These fields are required.