Qualification Certification

You qualify for Computers for Classrooms services if you are participating in any of the following programs:

  • Medi-Cal
  • CMSP
  • Healthy Families
  • EBT Food Stamp Card
  • Section 8 Housing
  • Have a child in school receiving Free or Reduced price lunch
  • AT&T lifeline – phone bill
  • PG&E Star program – reduced utility fees
  • SMUD – (EARP) Energy Assistance Program Rate
  • Butte Community College student
  • Fire victim with Red Cross assistance letter
  • Veteran with Veteran’s Administration card
  • Social Security Disability
  • Senior aged 65 or older

I certify that I am participating in at least one of the above listed programs.

  • I am purchasing this computer system for my own use and not for resale or
  • I am asking Computers for Classrooms to check-out or service my computer.

 

Name (Printed)________________________________________________________________________

Signature:_____________________________________________________Date:___________________