CCN Laptop Support

Purpose and Intent

The United Way of San Joaquin County is soliciting requests for eligible Non-Profit Organizations serving clients in the Stockton Community seeking additional technology equipment (laptop computer) to electronically refer clients through the San Joaquin County Connected Community Network (CCN).

The COVID-19 Laptop Request is designed to assist Non-Profit Organizations in the electronic referral process, due to the restrictions directly related to the COVID-19 pandemic.

The laptops are intended to be used remotely or by practicing proper social distancing to help stop the spread of COVID-19, but ensuring individuals in the community are being referred to the right resources through the CCN.

  • All laptops must be used for the purposes of electronic referrals through the CCN.
  • Upon applying, all applicants must complete a Partner Registration Form (PRF) through Unite Us, the technology company that hosts the CCN platform.
  • If applicants are currently active in the CCN, the PRF does not need to be resubmitted.
  • Please only apply for a laptop if you can ensure usage of the CCN.

Eligible Applicants

  • Non-Profit Organizations serving clients in the Stockton Community.
  • Non-Profit Organizations active or will become active (upon approval to receive laptop) in the San Joaquin County Connected Community Network.

Key Dates

December 9, 2020 Application Period Opens

December 31, 2020 Application Deadline (or until laptops are exhausted)

 

  • 1 Current Start
  • 2 Preview
  • 3 Complete
Section A
Organization Information
If no, please complete the Partner Registration Form here: Unite Us Form
Section B

Please complete the following information on the clients your organization serves.

The sum of the income levels provided below should match the "TOTAL" provided above.

Of the Grand Total: list the total number of Stockton clients served in each category below:

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Section C

Ethnicity and Race

(Please provide answers for ALL questions)

Grand Total of numbers below (not including "Hispanic within") should equal Grand Total in Section B
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A person having origins in any of the original peoples of Europe, the Middle East or North Africa.

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A person having origins in any of the black racial groups of Africa. Terms such as “Haitian” or “Negro” can be used in addition to “Black” or “African American.”

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A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam

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A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

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A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

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A person having these multiple race heritages as defined above.

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A person having these multiple race heritages as defined above.

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A person having these multiple race heritages as defined above.

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A person having these multiple race heritages as defined above.

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For reporting individual responses that are not included in any of the other categories listed above.

**Hispanic or Latino race is defined as a person of Cuban, Mexican, Puerto Rican, South or Central American, other Spanish culture or origin, regardless of race. The term, “Spanish origin,” can be used in addition to “Hispanic or Latino.” HUD does not consider Hispanic to be a separate race, but rather a mixture; therefore, add the number of Hispanics to White, Am. Indian, etc, as appropriate in the first column, then list them separately in the second column.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.